Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1235517053
Utah Cvs Pharmacy, L.l.c.
Organization Subpart: NO
Active
NPI Number1235517053
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1235517053
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2015-05-13
Last Updated2022-01-05
Authorized OfficialSusan Colbert
SR. DIRECTOR-PAYER RELATIONS
Phone: 4017651500
Mailing AddressOne Cvs Drive, Box 1075
Woonsocket, RI 02895-6146
United States
Phone: (401) 765-1500
📍 View Map
Primary Practice Address11506 S 4000 W
South Jordan, UT 84009-6070
United States
Phone: (801) 446-9995
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDUT1235517053-
Other (non-Medicare)UT4613217NCPDP
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical SuppliesUT-
No3336C0003X – Pharmacy, Community/Retail PharmacyUT-
Yes333600000X – PharmacyUT-
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About NPI 1235517053

Utah Cvs Pharmacy, L.l.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1235517053. The primary specialty listed is Pharmacy. The organization is located in South Jordan, UT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-05-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1235517053?

NPI 1235517053 belongs to Utah Cvs Pharmacy, L.l.c., a Pharmacy in South Jordan, UT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1235517053 active?

The current status of NPI 1235517053 in the NPPES registry is Active. The record was last updated on 2022-01-05.

What specialty is NPI 1235517053?

NPI 1235517053 is classified under the taxonomy 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 1235517053?

You can verify NPI 1235517053 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 1235517053?

The primary practice address on file for NPI 1235517053 is 11506 S 4000 W, South Jordan, UT 84009-6070. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1235517053 issued?

NPI 1235517053 was first issued (enumerated) on 2015-05-13. The NPPES record was last updated on 2022-01-05.

Practice Location Map

Utah Cvs Pharmacy, L.l.c. is located at 11506 S 4000 W, South Jordan, UT. Use the map below to find directions or verify the practice location.

📍 11506 S 4000 W, South Jordan, UT 84009-6070  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Utah Cvs Pharmacy, L.l.c.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-22 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162