OrganizationActive
PC Pharmacy at the Clinic Inc
NPI 1124132113 · Community/Retail Pharmacy · Park City, UT
Provider details
- NPI number
- 1124132113
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kristy Black, Owner(435) 658-5051
- License
- 60427351703 (UT)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1665 Bonanza Dr
Park City, UT 84060
Phone: (435) 658-5051
Fax: (435) 658-5093
Street-level locationGet directions
Mailing address
Po Box 680772
Park City, UT 84068-0772
Other names (DBA / former)
- Doing business as
- Park City Phcy at the Clinic
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.