Active NPI
Michael Kirk Jensen, R.PH, M.S.
- Pharmacist
- Salt Lake City, UT
National Provider Identifier
1699819557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 150767-1701
- Practice address
- 65 N Medical Dr
Salt Lake City, UT 84132-1000 - Phone
- (801) 585-6522
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- 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 | 150767-1701 | UT | Primary |
Addresses
Primary practice location
65 N Medical Dr
Salt Lake City, UT 84132-1000
Mailing address
65 N Medical Dr
Salt Lake City, UT 84132-1000
Phone (801) 585-6522
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150767-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1699819557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841321000",
"telephone_number": "801-585-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841321000",
"telephone_number": "801-585-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "MICHAEL",
"middle_name": "KIRK",
"name_prefix": "Mr.",
"credential": "R.PH, M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "150767-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.