Shane Edwin Hancock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

7325645-1701 Issued in UT

Practice address

3895 Harrison Blvd
C/O 1St Floor Pharmacy
Ogden, UT 84403-8440

Phone

(801) 387-8550

Fax

(801) 387-8555

NPI assigned

Apr 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1417410309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 HARRISON BLVD",
            "address_2": "C/O MCKAY-DEE NORTH CAMPUS PHARMACY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032312",
            "telephone_number": "801-387-8550",
            "fax_number": "801-387-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 HARRISON BLVD",
            "address_2": "C/O 1ST FLOOR PHARMACY",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844038440",
            "telephone_number": "801-387-8550",
            "fax_number": "801-387-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "SHANE",
        "middle_name": "EDWIN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7325645-1701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE PHARMACIST CONTROLLED SUBSTANCES LICENSE",
            "identifier": "7325645-8911",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE PHARMACIST LICENSE",
            "identifier": "7325645-1701",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shane.hancock@imail.org",
            "affiliation": "N",
            "endpointDescription": "Pharmacy's email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "3895 Harrison Blvd",
            "address_2": "c/o 1st Floor Pharmacy",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844038440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sean R Hamlett, D.O.
• Tyler Hammer
• Richard Chris Hammond, DO
• Jennifer Hamson
• Rebecca Hanberg, MS, RDN
• Anthony B Hanebrink, LMFT
• Andrew Michael Hanley, LCSW
• Melissa Camille Hanni-Smith, DNP, APRN, FNP-C
• Carrie Hanni
• Amberly Jill Hansen, SUDC-I

• Pharmacist in Ogden, UT
• Providers in Ogden, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.