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Export Provider Record NPI 1104987312
Depot Drug
Organization Subpart: NO
Active
NPI Number1104987312
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Mail Order Pharmacy
Provider Details
NPI1104987312
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-12-12
Last Updated2017-03-08
Authorized OfficialCurtis Hughes
DIRECTOR OF PHARMACY
Phone: 8015954319
Mailing Address1040 N 2200 W Ste 200
Salt Lake City, UT 84116-2929
United States
Phone: (800) 331-6353 | Fax: (844) 267-3587
📍 View Map
Primary Practice Address1040 N 2200 W Ste 200
Salt Lake City, UT 84116-2929
United States
Phone: (800) 331-6353 | Fax: (801) 595-4440
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2107668PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy
No332B00000X – Durable Medical Equipment & Medical Supplies
Yes3336M0002X – Pharmacy, Mail Order PharmacyUT66418181704
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About NPI 1104987312

Depot Drug is an organization registered in the CMS NPPES NPI Registry with NPI number 1104987312. The primary specialty listed is Pharmacy, Mail Order Pharmacy. The organization is located in Salt Lake City, UT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104987312?

NPI 1104987312 belongs to Depot Drug, a Pharmacy, Mail Order Pharmacy in Salt Lake City, UT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104987312 active?

The current status of NPI 1104987312 in the NPPES registry is Active. The record was last updated on 2017-03-08.

What specialty is NPI 1104987312?

NPI 1104987312 is classified under the taxonomy Pharmacy, Mail Order Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104987312?

You can verify NPI 1104987312 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104987312?

The primary practice address on file for NPI 1104987312 is 1040 N 2200 W Ste 200, Salt Lake City, UT 84116-2929. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104987312 issued?

NPI 1104987312 was first issued (enumerated) on 2006-12-12. The NPPES record was last updated on 2017-03-08.

Practice Location Map

Depot Drug is located at 1040 N 2200 W Ste 200, Salt Lake City, UT. Use the map below to find directions or verify the practice location.

📍 1040 N 2200 W Ste 200, Salt Lake City, UT 84116-2929  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Depot Drug. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104987312. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Mail Order Pharmacy66418181704UT
Data Verified from CMS NPPES Last synced: 2026-06-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162