Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245083450 Individual Practitioner Male Practitioner

Jack Owen Corey

Pharmacist • Salt Lake City, UT

Professional Overview & Biography Verified Profile Summary

Jack Corey is a registered healthcare professional specializing in Pharmacist in Salt Lake City, UT. Practice services are available at 500 FOOTHILL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Foothill Blvd

Salt Lake City, UT 841480002

Telephone 8015821565
Associated Practice Facility / Clinic
🏢 Salt Lake City Vamc Facility NPI 1558329722

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Salt Lake City, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
511 Specialists

Practicing in Salt Lake City, UT (2037 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ S0262982

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristine Nelson , LCSW

Social Worker - Clinical

NPI 1003071648

Licensed Clinical Social Worker

Dr. Willard Dere , MD

Internal Medicine

NPI 1003286758

Doctor of Medicine (M.D.)

Hunter Bullock , MLS(ASCP)

Technician, Pathology - Medical Laboratory

NPI 1003336355
Nicolas Hortensi

Student in an Organized Health Care Education/Training Program

NPI 1003430745
David Archibald , PA

Physician Assistant - Medical

NPI 1003985904

Physician Assistant

Mallory Speakman

Registered Nurse

NPI 1013652940

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 14, 2025

Registered at 500 FOOTHILL BLVD, SALT LAKE CITY, UT 841480002 (Tel: 8015821565)

📍
Updated Business Mailing Address August 14, 2025

Registered at 500 FOOTHILL DR., SALT LAKE CITY, UT 841480002

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2025

Pharmacist (License #S0262982 in AZ)

NPI Profile Active April 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2024

Registered at 3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 921610002 (Tel: 8585528585)

📍
Updated Business Mailing Address April 08, 2024

Registered at 667 E LAS COLINAS PL, CHANDLER, AZ 852496901

👤
Provider Name / Credentials Updated April 08, 2024

Recorded as JACK COREY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Pharmacist (License #PST.024092 in LA)

🟢
Initial NPI Registration & Enumeration April 08, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245083450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2024
Last Update: August 14, 2025
Sole Proprietor: No

Mailing Address

500 Foothill Dr.

Salt Lake City, UT 841480002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.