UTAH CVS PHARMACY LLC (NPI# 1811202187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811202187 |
| Entity Type | Organization |
| Organization Name | UTAH CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17596 |
| Practice Address |
1110 S 300 W Salt Lake City UT 84101-3053 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8014019563 |
| Practice Fax Number | 8014019564 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2016-11-30 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9610047-1703 | UT | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126181 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17596 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1649693052 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11385 S 700 E, Sandy, UT 84070-5363 | 2014-01-22 |
| 1184058810 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1273 N University Ave, Provo, UT 84604-2603 | 2013-08-29 |
| 1871853382 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5518 W High Market Dr, West Valley City, UT 84120-1306 | 2012-05-18 |
| 1083798680 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7779 S Jordan Landing Blvd, West Jordan, UT 84084-1975 | 2006-10-24 |
| 1538181219 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 815 W 2000 N, Layton, UT 84041-1632 | 2006-07-24 |
| 1265454946 | Utah Cvs Pharmacy LLC | Pharmacy | 275 S River Rd, Saint George, UT 84790-2116 | 2006-07-24 |
| Street Address |
1110 S 300 W |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629529607 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1110 S 300 W, Salt Lake City, UT 84101-3053 | 2016-10-14 |
| 1255747663 | Angela Joanne Hardcastle | Pharmacist | 1110 S 300 W, Salt Lake City, UT 84101-3053 | 2014-07-07 |
| 1487932075 | Stacy Rae Harbertson | Pharmacist | 1110 S 300 W, Salt Lake City, UT 84101-3053 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1174928949 | Mmcp | Pharmacy | 6225 S Highland Dr, Salt Lake City, UT 84121-2125 | 2014-10-23 |
| 1164778510 | Meds In Motion | Pharmacy | 3798 S 700 E Ste 7, Salt Lake City, UT 84106-1150 | 2012-08-02 |
| 1013217736 | Acupharm LLC | Pharmacy | 990 W Atherton Dr # 200, Salt Lake City, UT 84123-3465 | 2010-10-28 |
| 1194048918 | Vrx Pharmacy LLC | Pharmacy | 50 E South Temple Ste 145, Salt Lake City, UT 84111-1020 | 2010-03-08 |
| 1164695318 | University of Utah Pharmacies | Pharmacy | 127 S. 500 E., Suite 160, Salt Lake City, UT 84102-2091 | 2008-04-09 |
| 1083763999 | Veridicusrx, LLC | Pharmacy | 1260 Vine St, Suite 200, Salt Lake City, UT 84121-1700 | 2007-01-09 |
| 1104987312 | Depot Drug | Pharmacy | 1040 N 2200 W Ste 200, Salt Lake City, UT 84116-2929 | 2006-12-12 |
| 1659445187 | Jolley Comp and Specialty Pham | Pharmacy | 1702 S 1100 E, Salt Lake City, UT 84105-3424 | 2006-11-17 |
| 1932298528 | University of Utah | Pharmacy | 555 S Foothill Blvd, Suite 396, Salt Lake City, UT 84112-1106 | 2006-10-12 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84101 |
Please comment or provide details below to improve the information on UTAH CVS PHARMACY LLC.
| 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.