SOUTH VALLEY COMPOUNDING PHARMACY (SOUTH VALLEY COMPOUNDING PHARMACY LLC) NPI 1013148071

Pharmacy (Community/Retail Pharmacy) in Riverton, UT

NPI 1013148071 Organization Pharmacy Community/Retail Pharmacy

About SOUTH VALLEY COMPOUNDING PHARMACY (SOUTH VALLEY COMPOUNDING PHARMACY LLC)

South Valley Compounding Pharmacy (south Valley Compounding Pharmacy Llc) is a provider established in Riverton, Utah specializing in pharmacy (community/retail pharmacy) . The NPI number of South Valley Compounding Pharmacy (south Valley Compounding Pharmacy Llc) is 1013148071 and was assigned on August 2009. The practitioner's primary taxonomy code is 3336C0003X with license number 9436474-1703 (UT). The provider is registered as an organization and their NPI record was last updated October 2021. The provider's is doing business as South Valley Compounding Pharmacy. The authorized official of this NPI record is Bart Smith Pharm D (Phamacist/owner)

NPI

1013148071

Provider NameSOUTH VALLEY COMPOUNDING PHARMACY (SOUTH VALLEY COMPOUNDING PHARMACY LLC)
Provider Location Address3796 W 12600 S RIVERTON, UT 84065
Provider Mailing Address3796 W 12600 S RIVERTON, UT 84065
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSOUTH VALLEY COMPOUNDING PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date08-06-2009
Last Update Date10-02-2021


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.9436474-1703
License StateUT
Taxonomy DescriptionA 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.

Business Address

SOUTH VALLEY COMPOUNDING PHARMACY
3796 W 12600 S
RIVERTON, UT
ZIP 84065
Phone: (801) 676-7880
Fax: (801) 676-7883

Get Directions


Mailing Address

SOUTH VALLEY COMPOUNDING PHARMACY
3796 W 12600 S
RIVERTON, UT
ZIP 84065
Phone: (801) 676-7880
Fax: (801) 676-7883



Authorized Official

Authorized Official Name BART SMITH PHARM D
Authorized Official TitlePHAMACIST/OWNER
Authorized Official Phone(801) 676-7880

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1333600000XSuppliersPharmacyNo

Taxonomy Description: 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.

23336C0004XSuppliersPharmacyCompounding PharmacyNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1013148071MEDICAID (05)UT
2121956OTHER (01)

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669144192 BART SMITH PHARM D
Individual
Pharmacist3796 W 12600 S
RIVERTON, UT 84065
(801) 557-3529

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.