DR. BENJAMIN DEAN JOLLEY (NPI# 1831703198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831703198 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN DEAN JOLLEY |
| Credential | PHARMD |
| Practice Address |
1702 S 1100 E Salt Lake City UT 84105-3424 |
| Practice Telephone | 8014844393 |
| Practice Fax Number | 8014848677 |
| Mailing Telephone | 8014844393 |
| Mailing Fax Number | 8014848677 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
7050817-1701 | UT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE PHARMACIST LICENSE | 7050817-1701 | 01 |
| Street Address |
1702 S 1100 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445187 | Jolley Comp and Specialty Pham | Pharmacy | 1702 S 1100 E, Salt Lake City, UT 84105-3424 | 2006-11-17 |
| 1962019703 | Akram Refaat | Pharmacist | 1702 S 1100 E, Salt Lake City, UT 84105-3424 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669091781 | Patrick Welch | Pharmacist | 4393 S Riverboat Rd, Salt Lake City, UT 84123-2503 | 2020-04-09 |
| 1487295952 | Jimmy Nguyen | Pharmacist | 828 S 900 W, Salt Lake City, UT 84104-1455 | 2019-10-04 |
| 1083175053 | Julie Mills Haymore | Pharmacist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2019-03-30 |
| 1194258657 | Nicole Lopez | Pharmacist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2017-04-11 |
| 1194268466 | Vanessa B Nielsen | Pharmacist | 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 | 2016-11-18 |
| 1053785386 | Samuel Chase Warner | Pharmacist | 1638 S 900 E, Salt Lake City, UT 84105-2366 | 2015-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518711 | Brad K Stocking | Pharmacist | 20 N Bluff St, Saint George, UT 84770-3334 | 2019-09-27 |
| 1770054777 | Bradly Dean Winter | Pharmacist | 2075 University Park Blvd, Layton, UT 84041-1611 | 2018-12-17 |
| 1487133542 | Heidi Pigott | Pharmacist | 5541 W 13400 S, Riverton, UT 84096-5640 | 2018-08-09 |
| 1578014924 | Bradley Brouillette | Pharmacist | 5201 S Intermountain Dr, Murray, UT 84107-6024 | 2016-10-20 |
| City | SALT LAKE CITY |
| Zip Code | 84105 |
Please comment or provide details below to improve the information on DR. BENJAMIN DEAN JOLLEY.
| 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.