IndividualActive
Brenda Waller
NPI 1073125373 · Pharmacy Technician · Salt Lake City, UT
Provider details
- NPI number
- 1073125373
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9250968-1717 (UT)
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
729 N Redwood Rd
Salt Lake City, UT 84116-1909
Phone: (801) 532-3795
Fax: (801) 532-4909
Street-level locationGet directions
Mailing address
Po Box 16495
Salt Lake City, UT 84116
Registry dates
- Enumerated
- 2020-08-18
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.