Provider Type Icon

SOUTH VALLEY COMPOUNDING PHARMACY LLC NPI 1013148071


NPI Information

NPI: 1013148071
Provider Name: SOUTH VALLEY COMPOUNDING PHARMACY LLC

Doing Business As: SOUTH VALLEY COMPOUNDING PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3796 W 12600 S
RIVERTON, UT
ZIP 84065
Phone: (801) 676-7880
Get Directions

SOUTH VALLEY COMPOUNDING PHARMACY LLC is a community/retail pharmacy pharmacy in Riverton, UT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SOUTH VALLEY COMPOUNDING PHARMACY LLC NPI is 1013148071. The provider is registered as an organization entity type.
The provider Is Doing Business As South Valley Compounding Pharmacy.

The provider's business location address is:

3796 W 12600 S
RIVERTON, UT
ZIP 84065-215
Phone: (801) 676-7880
Fax: (801) 676-7883

The provider's authorized official is Bart Smith .
The authorized official title is Phamacist/owner and has the following contact phone number (801) 676-7880.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 10/2/2021.


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
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy9436474-1703UTAHYes

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
11013148071MEDICAIDUTAH
22121956OTHERPK

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.