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San Juan Pharmacy Monticello Inc.

Community/Retail Pharmacy in Monticello, UT · enumerated 2007 · authorized official Tim Young, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215144308

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name San Juan Pharmacy Monticello Inc.
Other name <Unavail>
Practice address 140 S Main St, Monticello, UT, 84535
Fax (435) 587-3441
Enumeration date May 17, 2007
Last updated in NPPES Apr 13, 2022

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 127088-1703 (UT) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Tim Young
Title Owner

Other identifiers

Identifier Type State Issuer
88084876 Medicaid CO -
876000616040 Medicaid UT -
2107592 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is San Juan Pharmacy Monticello Inc. located?
The practice location on file with NPPES is in Monticello, UT.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-04-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-13.