OrganizationActive
Diabetes Specialty Center
NPI 1033199666 · Pharmacy · Salt Lake City, UT
Provider details
- NPI number
- 1033199666
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kim Doman, Controller(801) 263-5442
- License
- 5738699-1703 (UT)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3744 Second Street
Ste a
Salt Lake City, UT 84115
Phone: (801) 268-9699
Fax: (888) 321-7719
Street-level locationGet directions
Mailing address
3793 South State Street
Salt Lake City, UT 84115-4828
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.