UTAH STATE DEVELOPMENTAL CENTER PHARMACY
NPI 1164435129
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in American Fork, UT

Q: What is Utah State Developmental Center Pharmacy's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since August 14, 2006

895 N 900 E, AMERICAN FORK, UT 84003(801) 763-4036(801) 763-4073 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Utah State Developmental Center Pharmacy NPPES

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

UTAH STATE DEVELOPMENTAL CENTER PHARMACY (NPI 1164435129) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in American Fork, Utah and active in the NPI registry since August 2006. The organization lists Frank Whitney, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1164435129

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameUTAH STATE DEVELOPMENTAL CENTER PHARMACY

Location Address895 N 900 EAmerican Fork, UT 84003-9183

Mailing Address895 N 900 EAmerican Fork, UT 84003-9183 · (801) 763-4036 · Fax (801) 763-4073

Phone(801) 763-4036

Fax(801) 763-4073

Organization SubpartNo

Authorized OfficialFrank WhitneyPharmacy Director · (801) 763-4160

Enumeration DateAugust 14, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1164435129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in UT · 122434-1704

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

895 N 900 E, American Fork, UT 84003

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Other Identifiers 3

Other4603773UT · Ncpdp

Other52820957000001UT · Blue Cross

Medicaid876000545015UT

Other Providers at the Same Location NPPES 12

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

STEPHEN L ERICKSEN DMD

Dentist