DR. KELLY DIESTERHAFT PHARMD
NPI 1710254875
Pharmacist in Salt Lake City, UT

Active since November 17, 2011
3730 W 4700 S, SALT LAKE CITY, UT 84129(801) 213-9200 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Diesterhaft Pharmd NPPES

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

DR. KELLY DIESTERHAFT PHARMD (NPI 1710254875) is an individual pharmacist in Salt Lake City, Utah, licensed in Utah (7317273-1701) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1710254875
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KELLY DIESTERHAFTCredential: PHARMD
Location Address3730 W 4700 SSalt Lake City, UT 84129-3457
Mailing Address3730 West 4700 SouthWest Valley City, UT 84118 · (801) 213-9200
Sole ProprietorYes
Enumeration DateNovember 17, 2011
NPI 1710254875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 7317273-1701
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

3730 W 4700 S, Salt Lake City, UT 84129

Other Providers at the Same Location NPPES 10

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

Registered Nurse (Case Management)
3730 W 4700 S
SALT LAKE CITY, UT 84129
Internal Medicine
3730 W 4700 S
TAYLORSVILLE, UT 84129
Social Worker (Clinical)
3730 W 4700 S
TAYLORSVILLE, UT 84129
Pediatrics
3730 W 4700 S
SALT LAKE CITY, UT 84129
Social Worker (Clinical)
3730 W 4700 S
TAYLORSVILLE, UT 84129
Family Medicine
3730 W 4700 S
WEST VALLEY CITY, UT 84129
Obstetrics & Gynecology
3730 W 4700 S
SALT LAKE CITY, UT 84129
Family Medicine
3730 W 4700 S
TAYLORSVILLE, UT 84129

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 Kelly Diesterhaft's NPI number?

The NPI number for Kelly Diesterhaft is 1710254875. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Kelly Diesterhaft located?

Kelly Diesterhaft practices at 3730 W 4700 S, Salt Lake City, UT 84129. The listed phone number is (801) 213-9200.

What is Kelly Diesterhaft's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kelly Diesterhaft was last updated on November 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.