Individual provider Active NPI

Kasey Heusdens, PHARM D

  • Pharmacist
  • West Jordan, UT
National Provider Identifier
1558034397
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10960949-1701 Issued in UT
Practice address
7859 S 3200 W
West Jordan, UT 84088-5230
Phone
(801) 255-7557
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10960949-1701 UT Primary

Addresses

Primary practice location

7859 S 3200 W
West Jordan, UT 84088-5230

Mailing address

3297 W Upper Huntly Way
West Jordan, UT 84088-2525
Phone (720) 290-1668

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
10960949-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maceys Inc PastSince Aug 1, 2021 Accepting new patients
Maceys Inc PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1558034397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3297 W UPPER HUNTLY WAY",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840882525",
            "telephone_number": "720-290-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7859 S 3200 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885230",
            "telephone_number": "801-255-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUSDENS",
        "first_name": "KASEY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "10960949-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.