Confederated Tribes of the Goshute Reservation
NPI 1952158982ActiveOrganization· Pharmacy, Clinic Pharmacy· West Valley City, UT
Pharmacy, Clinic Pharmacy in West Valley City, Utah, registered in NPPES in May 2024. The authorized official on file is Carissa Sorensen Monroy, MD, Medical Officer.
Overview
| NPI | 1952158982 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2024 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | — | — |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy, Clinic Pharmacy providers in West Valley City
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