Provider Type Icon

UTAH CVS PHARMACY L.L.C. NPI 1366819963


NPI Information

NPI: 1366819963
Provider Name: UTAH CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #10370

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 46D2221758

Address:
7777 S. REDWOOD RD
WEST JORDAN, UT
ZIP 84084
Phone: (801) 255-9077
Get Directions

UTAH CVS PHARMACY, L.L.C. is a pharmacy in West Jordan, UT. The provider is 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. UTAH CVS PHARMACY, L.L.C. NPI is 1366819963. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #10370.

The provider's business location address is:

7777 S. REDWOOD RD
WEST JORDAN, UT
ZIP 84084-518
Phone: (801) 255-9077

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director-payer Relations and has the following contact phone number (401) 765-1500.

The CLIA number assigned to this NPI record is 46D2221758 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2015 and was last updated on 12/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16937350009MEDICARE NSCUTAH
2U000086495MEDICARE PINUTAH
34613344OTHERUTAHNCPDP
41366819963MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.