Healthcare Provider Details

I. General information

NPI: 1487568044
Provider Name (Legal Business Name): KRISTI ANN SMITH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 FOOTHILL DR
SALT LAKE CITY UT
84112-1106
US

IV. Provider business mailing address

555 FOOTHILL DR
SALT LAKE CITY UT
84112-1106
US

V. Phone/Fax

Practice location:
  • Phone: 801-213-1043
  • Fax:
Mailing address:
  • Phone: 801-581-7790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number11855150-1701
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPHA.0022678
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: