IndividualActive
Nathan Bullock, PHARMD
NPI 1447566476 · Pharmacist · Provo, UT
Provider details
- NPI number
- 1447566476
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6023383-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1324 N State St
Provo, UT 84604-2419
Phone: (801) 374-2015
Fax: (801) 374-9954
Approximate (ZIP-level) locationGet directions
Mailing address
743 W Meadow Side Dr
Saratoga Springs, UT 84045-5316
Registry dates
- Enumerated
- 2010-08-27
- Last updated
- 2010-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.