CANYON VIEW PHARMACY
NPI 1487736161
Pharmacy - Compounding Pharmacy in Ogden, UT

Active since October 20, 2006
1159 E 12TH STREET, OGDEN, UT 84404(801) 334-3190(801) 334-3193 Get Directions Write a Review

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

About Canyon View Pharmacy NPPES

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

CANYON VIEW PHARMACY (NPI 1487736161) is a healthcare organization registered as a compounding pharmacy in Ogden, Utah and active in the NPI registry since October 2006. The organization lists Gary Lynn Bailey, President, as its authorized official.

NPPES Registry Identity

NPI1487736161
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameDIVERSIFIED PROFESSIONAL COMPANY
Location Address1159 E 12TH STREETOgden, UT 84404-5144
Mailing Address1159 E 12th StreetOgden, UT 84404-5144 · (801) 334-3190 · Fax (801) 334-3193
Fax(801) 334-3193
Organization SubpartNo
Authorized OfficialGary Lynn BaileyPresident · (801) 334-3190
Enumeration DateOctober 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1487736161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
1159 E 12TH STREET, Ogden, UT 84404

Other Names 1

Doing Business AsCanyon View Pharmacy

Other Identifiers 1

Medicaid870218488006UT

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 Diversified Professional Company's NPI number?

The NPI number for Diversified Professional Company is 1487736161. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Canyon View Pharmacy.

Where is Diversified Professional Company located?

Diversified Professional Company is located at 1159 E 12th Street, Ogden, UT 84404. The listed phone number is (801) 334-3190.

What is Diversified Professional Company's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Diversified Professional Company was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.