OrganizationActive
Spanish Valley Clinic Pharmacy
NPI 1114597853 · Community/Retail Pharmacy · Spanish Valley, UT
Provider details
- NPI number
- 1114597853
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- San Juan Health Service District
- Organization subpart
- Yes
- Authorized official
- Brian Bothwell, Director of Pharmacy(435) 587-2116
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
5555 Old Airport Rd.
Spanish Valley, UT 84532
Phone: (435) 587-1181
Approximate (ZIP-level) locationGet directions
Mailing address
380 W 100 N
Monticello, UT 84535
Registry dates
- Enumerated
- 2021-06-25
- Last updated
- 2023-11-16
- Certified
- 2023-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.