UNIVERSITY OF UTAH (NPI# 1790147833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790147833 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH |
| Other Organization Name | MIDVALLEY SPECIALTY PHARMACY |
| Practice Address |
6056 S Fashion Square Dr Ste 1000 Suite 1000 Murray UT 84107-5410 |
| Mailing Address |
Po Box 511124 Salt Lake City UT 84151-1124 |
| Practice Telephone | 8012138650 |
| Practice Fax Number | 8012622802 |
| Mailing Telephone | 8015876325 |
| Mailing Fax Number | 8015851808 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | MICHAEL KELLY (SENIOR PHARMACY DIRECTOR) |
| Authorized Official Telephone | 8015856325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
97367431703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159504 | 01 |
| Other Name | Type Code |
|---|---|
| MIDVALLEY SPECIALTY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1205215076 | University of Utah | General Acute Care Hospital | 30 N 1900 E # 4a100, Salt Lake City, UT 84132-0002 | 2015-05-26 |
| 1104115476 | University of Utah | General Acute Care Hospital | 470 N Harbor Dr Nw, Atlanta, GA 30328-2751 | 2011-04-07 |
| 1275838575 | University of Utah | Pharmacy | 4696 Daybreak Rim Way, South Jordan, UT 84095-5129 | 2011-01-18 |
| 1518011584 | University of Utah | General Acute Care Hospital | 03730 W 4700 S, West Valley, UT 84108 | 2007-01-23 |
| 1023107612 | University of Utah | Pharmacy | 145 W 1300 S, Orem, UT 84058-7316 | 2006-10-12 |
| 1932298528 | University of Utah | Pharmacy | 555 S Foothill Blvd, Suite 396, Salt Lake City, UT 84112-1106 | 2006-10-12 |
| 1295824886 | University of Utah | Pharmacy | 65 S Mario Capecchi Dr, Suite 2430, Salt Lake City, UT 84132-0005 | 2006-10-12 |
| 1306883954 | University of Utah | Durable Medical Equipment & Medical Supplies | 6056 S Fashion Square Dr, Suite 1100, Murray, UT 84107-7355 | 2006-06-01 |
| 1740749415 | University of Utah | Psychiatric Hospital | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | University of Utah Health Plans | 6053 Fashion Square Drive, Suite 110, Murray, UT 84107 |
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH HOSPITALS AND CLINICS | 50 North Medical Dr, Salt Lake City, UT 84132-0001 |
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH, THE | 201 Presidents Cir, Salt Lake City, UT 84112-9049 |
| Street Address |
6056 S FASHION SQUARE DR STE 1000 SUITE 1000 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405053 | Kristen Sobotka Hausskuper | Pharmacist | 6056 S Fashion Square Dr Ste 1000, Murray, UT 84107-5410 | 2019-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 |
|---|---|---|---|---|
| 1073670352 | O J Pharmacy Inc | Pharmacy | 604 S 12th St, Murray, KY 42071-2916 | 2007-01-03 |
| 1235171687 | Pulmocair Respiratory, Inc | Pharmacy | 82 Spruce St, Suite 121, Murray, KY 42071-2150 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1598371973 | Mountain West Medicine Inc. | Pharmacy | 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 | 2020-09-21 |
| 1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1891345237 | Strive Pharmacy Utah 1 LLC | Pharmacy | 8928 S State St, Sandy, UT 84070-2246 | 2019-09-17 |
| 1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
| 1912470246 | Ridley's Family Markets Inc | Pharmacy | 74 S 100 E, Tremonton, UT 84337-1606 | 2019-01-09 |
| 1437620762 | Pthl LLC | Pharmacy | 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 | 2018-12-16 |
| 1093285785 | Richfield Community Pharmacy LLC | Pharmacy | 440 S Main St Ste B, Richfield, UT 84701-2855 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
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| 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.