Healthcare Provider Details

I. General information

NPI: 1770891533
Provider Name (Legal Business Name): JOEY V CHASE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 S MAIN ST
BRIGHAM CITY UT
84302-2529
US

IV. Provider business mailing address

156 S MAIN ST
BRIGHAM CITY UT
84302-2529
US

V. Phone/Fax

Practice location:
  • Phone: 435-734-2027
  • Fax:
Mailing address:
  • Phone: 435-734-2027
  • Fax: 435-734-9935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7644059-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: