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UTAH CVS PHARMACY L.L.C. NPI 1730551169


NPI Information

NPI: 1730551169
Provider Name: UTAH CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY # 10234

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4240 HARRISON BLVD.
OGDEN, UT
ZIP 84403
Phone: (801) 621-2610
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UTAH CVS PHARMACY, L.L.C. is a pharmacy in Ogden, 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 1730551169. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 10234.

The provider's business location address is:

4240 HARRISON BLVD.
OGDEN, UT
ZIP 84403-102
Phone: (801) 621-2610

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 enumeration date for this NPI number is 10/26/2015 and was last updated on 2/10/2016.


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 SuppliesUTAHNo
23336C0003XPharmacyCommunity/Retail PharmacyUTAHNo
3333600000XPharmacyUTAHYes

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
11730551169MEDICAIDUTAH
24613382OTHERUTAHNCPDP
3U000086495MEDICARE PINUTAH
46937350011MEDICARE NSCUTAH

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.