IndividualActive
Trevor Boam
NPI 1013527977 · Pharmacist · Salt Lake City, UT
Provider details
- NPI number
- 1013527977
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- S025500 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Phone: (888) 949-4864
Street-level locationGet directions
Mailing address
1646 N Salem Cir
Mesa, AZ 85205-3540
Registry dates
- Enumerated
- 2020-08-05
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.