Healthcare Provider Details

I. General information

NPI: 1437484730
Provider Name (Legal Business Name): NICOLE P ROMNEY PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 E 4500 S
SALT LAKE CITY UT
84107-3049
US

IV. Provider business mailing address

845 E 4500 S
SALT LAKE CITY UT
84107-3049
US

V. Phone/Fax

Practice location:
  • Phone: 801-261-8787
  • Fax: 801-263-8523
Mailing address:
  • Phone: 801-261-8787
  • Fax: 801-263-8523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16684
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5892000
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: