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PROFESSIONAL PARK
NPI 1891770715
Pharmacy - Community/Retail Pharmacy in St George, UT

Active since December 13, 2005
736 S 900 E STE 102, ST GEORGE, UT 84790(435) 652-1548(435) 652-3059 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Park NPPES

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

PROFESSIONAL PARK (NPI 1891770715) is a healthcare organization registered as a community/retail pharmacy in St George, Utah and active in the NPI registry since December 2005. The organization lists R Brad Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1891770715
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROFESSIONAL PARK PHARMACY INC
Location Address736 S 900 E STE 102St George, UT 84790-7001
Mailing Address736 S 900 E Ste 102St George, UT 84790-7001 · (435) 652-1548 · Fax (435) 652-3059
Phone(435) 652-1548
Fax(435) 652-3059
Organization SubpartNo
Authorized OfficialR Brad AndersonPresident · (435) 652-1548
Enumeration DateDecember 13, 2005
Last NPPES UpdateNovember 15, 2022
NPPES CertifiedNovember 15, 2022
✔ NPI 1891770715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 3506771703
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
736 S 900 E STE 102, St George, UT 84790
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Other Names 2

Doing Business AsProfessional Park
Doing Business AsProfessional Park Pharmacy Inc

Other Identifiers 1

Other2100294Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 4

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

ST GEORGE FAMILY PHARMACY
Pharmacy (Community/Retail Pharmacy)
736 S 900 E STE 102
ST GEORGE, UT 84790
Washington County (435) 652-1548
ST GEORGE FAMILY PHARMACY
Pharmacy (Long Term Care Pharmacy)
736 S 900 E STE 102
ST GEORGE, UT 84790
Washington County (435) 652-1548
ROBERT BRAD ANDERSON
Pharmacist
736 S 900 E STE 102
SAINT GEORGE, UT 84790
Washington County (435) 652-1548
JORDAN GRAY PHARM D
Pharmacist
736 S 900 E STE 102
ST GEORGE, UT 84790
Washington County (435) 652-1548

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 Professional Park Pharmacy Inc's NPI number?

The NPI number for Professional Park Pharmacy Inc is 1891770715. It was assigned to this organization in the NPPES registry on December 13, 2005. The provider is doing business as Professional Park.

Where is Professional Park Pharmacy Inc located?

Professional Park Pharmacy Inc is located at 736 S 900 E Ste 102, St George, UT 84790. The listed phone number is (435) 652-1548.

What is Professional Park 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 Professional Park Pharmacy Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Professional Park 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 Professional Park Pharmacy Inc was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.