OrganizationActive
PC Pharmacy at the Clinic Inc
NPI 1124132113 · Community/Retail Pharmacy · Park City, UT
PC Pharmacy at the Clinic Inc is a Community/Retail Pharmacy organization in Park City, UT (NPI 1124132113).
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(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
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
Frequently asked questions
- What is PC Pharmacy at the Clinic Inc's NPI number?
- PC Pharmacy at the Clinic Inc's National Provider Identifier (NPI) is 1124132113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is PC Pharmacy at the Clinic Inc?
- PC Pharmacy at the Clinic Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is PC Pharmacy at the Clinic Inc located?
- PC Pharmacy at the Clinic Inc's practice location on file with NPPES is 1665 Bonanza Dr, Park City, UT 84060.
- What is PC Pharmacy at the Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for PC Pharmacy at the Clinic Inc is (435) 658-5051.
- Who is the authorized official for PC Pharmacy at the Clinic Inc?
- The authorized official listed on PC Pharmacy at the Clinic Inc's NPPES record is Kristy Black, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is PC Pharmacy at the Clinic Inc's NPI active?
- Yes — PC Pharmacy at the Clinic Inc's NPI (1124132113) is active in the NPPES registry as of the last update on 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.