DIABETES SPECIALTY CENTER
NPI 1033199666
Pharmacy in Salt Lake City, UT

Active since January 19, 2006
3744 SECOND STREET, STE A, SALT LAKE CITY, UT 84115(801) 268-9699(888) 321-7719 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy

About DIABETES SPECIALTY CENTER

This page provides the complete NPI Profile along with additional information for Diabetes Specialty Center, a provider established in Salt Lake City, Utah operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1033199666 assigned on January 2006. The practitioner's primary taxonomy code is 333600000X with license number 8021342-1703 (UT). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ms. Kim E Doman (Controller)

NPI
1033199666 Verify this NPI
Provider Name
DIABETES SPECIALTY CENTER
Entity Type
Organization
Location Address
3744 SECOND STREET STE A SALT LAKE CITY, UT 84115
Location Phone
(801) 268-9699
Location Fax
(888) 321-7719
Mailing Address
3793 SOUTH STATE STREET SALT LAKE CITY, UT 84115
Mailing Phone
(801) 268-9699
Mailing Fax
(801) 268-9929
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2006
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
8021342-1703
License State
UT
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

5738699-1703 (UT)
23336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

5738699-1703 (UT)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KIM E DOMAN

Authorized Official Title
CONTROLLER
Authorized Official Phone
(801) 263-5442

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033199666, enumerated as an "organization" on January 19, 2006.

The provider is located at 3744 SECOND STREET STE A SALT LAKE CITY, UT 84115 and the phone number is (801) 268-9699.

Pharmacy with taxonomy code 333600000X.