Individual provider Active NPI

Verlynn Kathryn Hansen, R.PH

  • Pharmacist
  • North Salt Lake, UT
National Provider Identifier
1467275420
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
272700-1701 Issued in UT
Practice address
776 S Wood Briar Way
North Salt Lake, UT 84054-3339
Phone
(801) 381-6437
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 272700-1701 UT Primary

Addresses

Primary practice location

776 S Wood Briar Way
North Salt Lake, UT 84054-3339

Mailing address

776 S Wood Briar Way
North Salt Lake, UT 84054-3339
Phone (801) 381-6437

Other names 1

  • Verlynn Kathryn Shetler Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
272700-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1467275420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 S WOOD BRIAR WAY",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840543339",
            "telephone_number": "801-381-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 S WOOD BRIAR WAY",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840543339",
            "telephone_number": "801-381-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "VERLYNN",
        "middle_name": "KATHRYN",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "272700-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERLYNN",
            "last_name": "SHETLER",
            "middle_name": "KATHRYN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.