Healthcare Provider Details

I. General information

NPI: 1306956495
Provider Name (Legal Business Name): JOSEPH REID CUMMINGS PHARM.D., MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/27/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 W 12600 S
RIVERTON UT
84065-7094
US

IV. Provider business mailing address

2681 W WINDING WAY
SOUTH JORDAN UT
84095-9440
US

V. Phone/Fax

Practice location:
  • Phone: 801-999-2795
  • Fax: 801-999-2796
Mailing address:
  • Phone: 801-419-5886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5321847-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: