DR. JORDAN DAVID RUPP PHARMD
NPI 1114645082
Pharmacist in Eagle Mountain, UT

Active since August 17, 2022
4045 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005(801) 789-4997 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jordan David Rupp Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN DAVID RUPP PHARMD (NPI 1114645082) is an individual pharmacist in Eagle Mountain, Utah, licensed in Utah (7720480-1701) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1114645082
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JORDAN DAVID RUPPCredential: PHARMD
Location Address4045 E PONY EXPRESS PKWYEagle Mountain, UT 84005-5512
Mailing Address4045 E Pony Express PkwyEagle Mountain, UT 84005-5512 · (801) 789-4997
Sole ProprietorNo
Enumeration DateAugust 17, 2022
NPPES CertifiedAugust 17, 2022
NPI 1114645082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 7720480-1701
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

4045 E PONY EXPRESS PKWY, Eagle Mountain, UT 84005

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
4045 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Pharmacist
4045 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Pharmacist
4045 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114645082, enumerated as an "individual" on August 17, 2022.

The provider is located at 4045 E PONY EXPRESS PKWY EAGLE MOUNTAIN, UT 84005 and the phone number is (801) 789-4997.

Pharmacist with taxonomy code 183500000X.