SOUTH VALLEY PHARMACY (NPI# 1750564514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750564514 |
| Entity Type | Organization |
| Organization Name | SOUTH VALLEY PHARMACY |
| Practice Address |
1652 S Highway 165 Providence UT 84332-6701 |
| Practice Telephone | 8017030494 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | LARRY DURRANT (PRESIDENT) |
| Authorized Official Telephone | 4355636262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
1652 S HIGHWAY 165 |
| City | PROVIDENCE |
| State | UT |
| Zip Code | 84332-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184949349 | Fullmer Chiropractic | Chiropractor | 1652 S Highway 165, Providence, UT 84332-6701 | 2010-03-31 |
| 1134451529 | Thomas Owen Fullmer | Chiropractor | 1652 S Highway 165, Providence, UT 84332-6701 | 2010-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
| 1033503420 | Spring Creek Surgical Center, LLC | Clinic/Center | 65 North Gateway Drive, Suite 3, Providence, UT 84332 | 2015-03-24 |
| 1558751438 | Naturopathic Medical, P.C. | Naturopath | 565 W. 465 N., Suite 150, Providence, UT 84332 | 2015-01-29 |
| 1821421710 | Erin Campbell | Physical Therapist | 267 West Spring Creek Parkway, Providence, UT 84332 | 2013-08-14 |
| 1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
| 1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
| 1528299245 | South Valley Eyecare Center, Inc. | Optometrist | 276 Springcreek Pkwy, Providence, UT 84332 | 2009-07-29 |
| 1316134356 | Heather Saxton Maughan | Speech-Language Pathologist | 344 E Edgehill Dr, Providence, UT 84332 | 2007-10-03 |
| 1902021538 | Brad L Thomas | Physical Therapist | 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 | 2007-04-17 |
| Find all providers in zip 84332 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
| 1568949683 | Allcare Rx Solutions LLC | Pharmacy | 265 Waterman St, Providence, RI 02906-5127 | 2018-07-21 |
| 1952854903 | Rite Aid Pharmacy | Pharmacy | 412 Angell St, Apartment 2, Providence, RI 02906-4013 | 2016-07-26 |
| 1518153014 | Ccr Pharmacy LLC | Pharmacy | 1017 Smith St, Providence, RI 02908-2747 | 2007-09-18 |
| 1558495457 | Maceys Inc | Pharmacy | 50 North Highway 165, Providence, UT 84332 | 2007-03-15 |
| 1679621676 | Prime Drug Inc | Pharmacy | 613 Cranston St, Providence, RI 02907-2813 | 2007-01-08 |
| 1528144128 | Genter's Pharmacy Corp | Pharmacy | 866 Broad St, Providence, RI 02907-1724 | 2006-10-27 |
| 1093819898 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 960 Broad St, Providence, RI 02905-1822 | 2006-09-12 |
| 1003910803 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 481 Angell St, Providence, RI 02906-4407 | 2006-09-12 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 84332 |
Please comment or provide details below to improve the information on SOUTH VALLEY PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.