PC PHARMACY AT THE CLINIC INC
NPI 1124132113
Pharmacy - Community/Retail Pharmacy in Park City, UT

Active since August 18, 2006
1665 BONANZA DR, PARK CITY, UT 84060(435) 658-5051(435) 658-5093 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pc Pharmacy At The Clinic Inc NPPES

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

PC PHARMACY AT THE CLINIC INC (NPI 1124132113), doing business as Park City Phcy At The Clinic, is a healthcare organization registered as a community/retail pharmacy in Park City, Utah and active in the NPI registry since August 2006. The organization lists Kristy Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1124132113
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePC PHARMACY AT THE CLINIC INC
Location Address1665 BONANZA DRPark City, UT 84060
Mailing AddressPo Box 680772Park City, UT 84068-0772
Fax(435) 658-5093
Organization SubpartNo
Authorized OfficialKristy BlackOwner · (435) 658-5051
Enumeration DateAugust 18, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1124132113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedPharmacyTaxonomy 333600000X · License 60427351703 (UT)
1665 BONANZA DR, Park City, UT 84060

Other Names 1

Doing Business AsPark City Phcy At The Clinic

Other Identifiers 1

Other4609547Other Id Number-commercial Number

Other Providers at the Same Location NPPES 15

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

Family Medicine
1665 BONANZA DR
PARK CITY, UT 84060
Clinic/Center (Urgent Care)
1665 BONANZA DR
PARK CITY, UT 84060
Pharmacy (Community/Retail Pharmacy)
1665 BONANZA DR
PARK CITY, UT 84060
Pharmacist
1665 BONANZA DR
PARK CITY, UT 84060
Pediatrics
1665 BONANZA DR
PARK CITY, UT 84060
Family Medicine
1665 BONANZA DR
PARK CITY, UT 84060
Family Medicine
1665 BONANZA DR
PARK CITY, UT 84060
Nurse Practitioner (Family)
1665 BONANZA DR
PARK CITY, UT 84060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is PC Pharmacy At The Clinic Inc's NPI number?

The NPI number for PC Pharmacy At The Clinic Inc is 1124132113. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is PC Pharmacy At The Clinic Inc located?

PC Pharmacy At The Clinic Inc is located at 1665 Bonanza Dr, Park City, UT 84060. The listed phone number is (435) 658-5051.

What is PC Pharmacy At The Clinic Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for PC Pharmacy At The Clinic Inc was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.