OrganizationActive
12th St Pharmacy Inc
NPI 1538284716 · Community/Retail Pharmacy · Ogden, UT
Provider details
- NPI number
- 1538284716
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wallace Eggleston, Owner and Pharmacist(801) 621-2154
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
Detailed profile(89/100 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
698 12th St
Ogden, UT 84404-6200
Phone: (801) 621-2154
Fax: (801) 627-9523
Street-level locationGet directions
Mailing address
698 12th St
Ogden, UT 84404-6200
Other names (DBA / former)
- Doing business as
- 12th Street Pharmacy
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2016-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.