ALPINE APOTHECARY, LLC (NPI# 1912237272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912237272 |
| Entity Type | Organization |
| Organization Name | ALPINE APOTHECARY, LLC |
| Other Organization Name | ALPINE APOTHECARY |
| Practice Address |
1675 Redstone Center Dr Ste 125 Park City UT 84098-7617 |
| Mailing Address |
1675 Redstone Center Dr Ste 125 Park City UT 84098-7608 |
| Practice Telephone | 4356150070 |
| Practice Fax Number | 4356157067 |
| Mailing Telephone | 4356150070 |
| Mailing Fax Number | 4356157067 |
| Enumeration Date | 2010-01-10 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | KARIN CARESTIA (PHARMACIST) |
| Authorized Official Telephone | 4356150070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
9066325-1703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2124975 | 01 |
| Other Name | Type Code |
|---|---|
| Alpine Apothecary | Doing Business As Name - Organization |
| Street Address |
1675 REDSTONE CENTER DR STE 125 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-7617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730462110 | Pharmacy At Park City Clinic | Pharmacy | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051761 | Rexall Drug | Pharmacy | 3300 N Running Creek Way Ste 100, Lehi, UT 84043-5563 | 2019-12-27 |
| 1881119469 | Roe Rx Inc | Pharmacy | 5257 Adams Ave Pkwy, Washington Terrace, UT 84405-6748 | 2017-08-04 |
| 1538516588 | Cedar Drug and Gift, Inc | Pharmacy | 755 S Main St Ste 7, Cedar City, UT 84720-3653 | 2016-05-19 |
| 1821442856 | Gibson Pharmacy Services LLC | Pharmacy | 240 E Winchester St, Murray, UT 84107-7305 | 2016-04-15 |
| 1528464336 | West Gordon Pharmacy Inc | Pharmacy | 3225 W Gordon Ave Ste 2, Layton, UT 84041-5728 | 2014-11-06 |
| 1821432626 | Isomeric Pharmacy Solutions LLC | Pharmacy | 2401 S Foothill Dr Ste C, Salt Lake City, UT 84109-1479 | 2013-04-23 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1588927792 | Olive Pharmacy | Pharmacy | 2290 S Redwood Rd, West Valley City, UT 84119-1322 | 2012-06-21 |
| 1700107604 | Precision Medical Pharmacy LLC | Pharmacy | 726 S 400 E, Orem, UT 84097-6322 | 2010-06-15 |
| 1255659470 | Meds for Vets | Pharmacy | 585 W 9400 S Ste 100, Sandy, UT 84070-2569 | 2010-05-12 |
| 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.