JEREMY PACK
NPI 1912632175
Clinic/Center - Infusion Therapy in Holladay, UT
About Jeremy Pack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY PACK (NPI 1912632175) is an individual infusion therapy provider in Holladay, Utah and active in the NPI registry since July 2022.
NPPES Registry Identity
Specialties & Licenses
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 Jeremy Pack's NPI number?
The NPI number for Jeremy Pack is 1912632175. It was assigned to this individual provider in the NPPES registry on July 21, 2022.
Where is Jeremy Pack located?
Jeremy Pack practices at 6233 S Highland Dr, Holladay, UT 84121. The listed phone number is (801) 520-3976.
What is Jeremy Pack's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.
When was this NPI record last updated?
The NPPES record for Jeremy Pack was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jeremy Pack · NPI 1912632175
Infusion Therapy provider in Holladay, Utah. Individual provider, active in the CMS NPPES registry since July 21, 2022.
## Identity
- **NPI:** 1912632175 (Entity type: Individual)
- **Enumerated:** July 21, 2022
- **Primary specialty:** Clinic/Center - Infusion Therapy · taxonomy 261QI0500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6233 S HIGHLAND DR, Holladay, UT 84121-2125
- **Phone:** (801) 520-3976
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912632175) · Data from the CMS NPPES public registry.