KELLY DIESTERHAFT PHARMD – NPI #1710254875
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.

KELLY DIESTERHAFT is a pharmacist located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1710254875 to KELLY DIESTERHAFT on November 17, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

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 KELLY DIESTERHAFT below.

NPI Profile for
KELLY DIESTERHAFT

NPI Number
1710254875
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY DIESTERHAFT
Credentials
PHARMD
Primary location
3730 W 4700 S
SALT LAKE CITY, UT 84129-3457
Phone: (801) 213-9200 Fax:
Mailing address
3730 WEST 4700 SOUTH
WEST VALLEY CITY, UT 84118
Phone: (801) 213-9200 Fax:
Sole Proprietor
Yes
Updated
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)
UT 7317273-1701

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.