Active NPI
Kasey Heusdens, PHARM D
- Pharmacist
- West Jordan, UT
National Provider Identifier
1558034397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10960949-1701
- Practice address
- 7859 S 3200 W
West Jordan, UT 84088-5230 - Phone
- (801) 255-7557
- NPI assigned
- Jul 28, 2021
- Last updated
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10960949-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maceys Inc | Past | Accepting new patients | |
| Maceys Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.