12TH STREET PHARMACY – Community/Retail Pharmacy, NPI 1538284716

12TH STREET PHARMACY is a healthcare provider. based in Ogden, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 362500-1703 (UT). The NPI Number for 12TH STREET PHARMACY is 1538284716

Main info

Organization
Name
12TH STREET PHARMACY
NPI
1538284716
Phone
(801) 621-2154
Address
698 12TH ST
Authorized Official
WALLACE EGGLESTON OWNER AND PHARMACIST
Enumeration Date
20 March 2007
Last Update Date
23 September 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for 12TH STREET PHARMACY

  • 698 12TH ST

    OGDEN, UT 844046200

    Phone: (801) 621-2154

    Fax: (801) 627-9523

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84404)

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Reviews

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Frequently asked questions

Is there an official ID for 12TH STREET PHARMACY in U.S. healthcare records?
The official identifier for 12TH STREET PHARMACY is NPI 1538284716.
Is 12TH STREET PHARMACY still an active registrant?
12TH STREET PHARMACY carries an active NPI according to the public dataset.
What clinical focus is listed for 12TH STREET PHARMACY?
At a glance, 12TH STREET PHARMACY is tied to Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Is 12TH STREET PHARMACY associated with Ogden?
Public fields place 12TH STREET PHARMACY around Ogden, Utah. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for 12TH STREET PHARMACY is noted as March 20, 2007 where the registry provides it.

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