Kirk Hanson

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

KIRK HANSON

Practice address

19679 Calgary TRL
Farmington, MN 55024-1488

Phone

(612) 720-3824

Fax

(888) 546-6978

NPI assigned

Oct 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kirk Edward Hanson

Title

Ceo

Phone

(612) 720-3824

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1366728206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21715",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551210715",
            "telephone_number": "612-720-3824",
            "fax_number": "888-546-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19679 CALGARY TRL",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241488",
            "telephone_number": "612-720-3824",
            "fax_number": "888-546-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK HANSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-720-3824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Farmington, MN
• Providers in Farmington, MN by specialty
• Non-Pharmacy Dispensing Site in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.