Andrea Christine Gunnerson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

319319-1701 Issued in UT

Practice address

4949 S 900 W
Riverdale, UT 84405-3777

Phone

(801) 612-3477

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1669078739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 W 3400 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107961",
            "telephone_number": "702-283-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 S 900 W",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844053777",
            "telephone_number": "801-612-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNERSON",
        "first_name": "ANDREA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "319319-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Korry Green, PHARMD
• Douglas Gregory, DC
• Hannah Griffin
• Allison Griffiths
• Melissa Grace Grogan, RBT
• Mark Henry Habermeyer, DDS
• Nickolas Theo Hadley
• Blake Thomas Halliday, LMFT
• Amber Hancock, ATC, LAT
• Hadley Handsaker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.