75 MDG PHARMACY – NPI #1356405336
Pharmacist

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.

Health Care Provider Taxonomy Code for Pharmacist

75 MDG PHARMACY is a pharmacist located in HILL AFB, UT. NPPES has assigned the NPI number 1356405336 to 75 MDG PHARMACY on December 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

The NPI profile was previously updated about 18 years ago on Jun 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 75 MDG PHARMACY below.

NPI Profile for
75 MDG PHARMACY

NPI Number
1356405336
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
75 MDG PHARMACY
Primary location
7321 11TH ST BLDG 570
HILL AFB, UT 84056-5012
Phone: (801) 777-0419 Fax: (801) 586-9890
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICHOLAS COSENTINO
PHARMACY FLIGHT COMMANDER
Phone: (801) 586-9529
Updated
Identifiers

Identifiers for 75 MDG PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP4609268
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.