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

Q: 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. The provider is doing business as Park City Phcy At The Clinic.

Q: 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.

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: August 09, 2026.

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

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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

Phone(435) 658-5051

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

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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.

DR. JOSEPH FERRITER

Family Medicine