12th St Pharmacy Inc
12th St Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Ogden, UT, holding Type 2 (organization) NPI 1538284716 since 2007. The authorized official on file is Wallace Eggleston, Owner and Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538284716 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 12th St Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 698 12TH ST, Ogden, UT, 84404 |
| Phone | 8016212154 |
| Fax | 8016279523 |
| Enumeration date | 2007-03-20 |
| Last updated in NPPES | 2016-09-23 |
Authorized official
| Name | Wallace Eggleston |
|---|---|
| Title | Owner and Pharmacist |
| Phone | 8016212154 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0002X | Clinic Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 362500-1703 | UT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2100182 | Other | — | PK |
Copy-ready billing details
Provider: 12th St Pharmacy Inc NPI: 1538284716 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 698 12TH ST, Ogden, UT, 84404
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841289600 | Eric Johnson | Individual | Physician Assistant | Ogden, UT |
| 1104888718 | Danette Stuart | Individual | Physician Assistant | Ogden, UT |
| 1700818259 | Scott Stallings | Individual | Family Medicine Physician | Ogden, UT |
| 1558394692 | Joelle Creager | Individual | Family Nurse Practitioner | Ogden, UT |
| 1912072570 | Garth Reid | Individual | Physician Assistant | Ogden, UT |
| 1720204456 | Evelyn Geilmann | Individual | Psychiatric/Mental Health Nurse Practitioner | Ogden, UT |
| 1720209380 | Matthew Hagemeyer | Individual | Family Medicine Physician | Ogden, UT |
| 1013119726 | Dixie Allen | Individual | Professional Counselor | Ogden, UT |
Verify this record
Cross-check NPI 1538284716 against the authoritative CMS record: view 12th St Pharmacy Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is 12th St Pharmacy Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-09-23.