Individual provider Active NPI

Stephanie Karen Hanson, PHARMD

  • Pharmacist
  • Ronan, MT
National Provider Identifier
1629629423
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83287 Issued in MT
Practice address
63802 US Highway 93 Ste B
Ronan, MT 59864-3414
Phone
(406) 676-5600
Fax
(406) 676-5632
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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
23179IAMDPharmacist
83287MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
R & R Health Care Solutions Inc PastSince Mar 6, 2022 Accepting new patients
Greenville Pharmacy Inc PastSince Sep 1, 2019 Accepting new patients
Greenville Pharmacy Inc PastSince Sep 1, 2019 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23179 IA
Pharmacist 183500000X 83287 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

63802 US Highway 93 Ste B
Ronan, MT 59864-3414

Mailing address

2701 Correctionville Rd
Sioux City, IA 51105-3627
Phone (712) 258-0113

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2022.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1629629423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CORRECTIONVILLE RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511053627",
            "telephone_number": "712-258-0113",
            "fax_number": "712-258-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63802 US HIGHWAY 93 STE B",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598643414",
            "telephone_number": "406-676-5600",
            "fax_number": "406-676-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "STEPHANIE",
        "middle_name": "KAREN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23179",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "83287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronan, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.