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12TH STREET PHARMACY
NPI 1538284716
Pharmacy - Community/Retail Pharmacy in Ogden, UT

Active since March 20, 2007
698 12TH ST, OGDEN, UT 84404(801) 621-2154(801) 627-9523 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 12th Street Pharmacy NPPES

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

12TH STREET PHARMACY (NPI 1538284716) is a healthcare organization registered as a community/retail pharmacy in Ogden, Utah and active in the NPI registry since March 2007. The organization lists Wallace Eggleston, Owner And Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1538284716
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name12TH ST PHARMACY INC
Location Address698 12TH STOgden, UT 84404-6200
Mailing Address698 12th StOgden, UT 84404-6200 · (801) 621-2154 · Fax (801) 627-9523
Phone(801) 621-2154
Fax(801) 627-9523
Organization SubpartNo
Authorized OfficialWallace EgglestonOwner And Pharmacist · (801) 621-2154
Enumeration DateMarch 20, 2007
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1538284716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 362500-1703
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
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
698 12TH ST, Ogden, UT 84404
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Other Names 1

Doing Business As12th Street Pharmacy

Other Identifiers 2

Other2100182Pk
Medicaid=========000UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

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

DIXIE ALLEN LPC
Counselor (Professional)
698 12TH ST
OGDEN, UT 84404
Weber County (801) 621-3466
MICHAEL TODD BROWNE PA-C
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Weber County (801) 475-3700
DANETTE STUART PA
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Weber County (801) 354-8225
DR. MATTHEW NAEGLE DO
Pediatrics
698 12TH ST
OGDEN, UT 84404
Weber County (801) 475-3700
JASON CLARK GUBLER DPT
Physical Therapist
698 12TH ST
OGDEN, UT 84404
Weber County (801) 475-3700
BRITTANY A KESTER PA-C
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Weber County (801) 475-3700
KERRY R REYNOLDS PA-C
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Weber County (801) 475-3700
MONTE LOUIS ROBERTS PHD, DNP, RN
Registered Nurse (School)
698 12TH ST
OGDEN, UT 84404
Weber County (801) 475-3700

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 12th St Pharmacy Inc's NPI number?

The NPI number for 12th St Pharmacy Inc is 1538284716. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as 12th Street Pharmacy.

Where is 12th St Pharmacy Inc located?

12th St Pharmacy Inc is located at 698 12th St, Ogden, UT 84404. The listed phone number is (801) 621-2154.

What is 12th St Pharmacy Inc's specialty?

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

What insurance does 12th St Pharmacy Inc accept?

Health plans from Medica list 12th St Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 12th St Pharmacy Inc was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.