Provider Demographics
NPI:1306956495
Name:CUMMINGS, JOSEPH REID (PHARMD, MBA)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:REID
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2681 W WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-9440
Mailing Address - Country:US
Mailing Address - Phone:801-419-5886
Mailing Address - Fax:
Practice Address - Street 1:1202 W 12600 S
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7094
Practice Address - Country:US
Practice Address - Phone:801-999-2795
Practice Address - Fax:801-999-2796
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5321847-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist