Active NPI
Jordan Hanson, PHARMD
- Pharmacist
- Pender, NE
National Provider Identifier
1720355191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13890
- Practice address
- 958 Wellness Way Ste 2
Pender, NE 68047-4518 - Phone
- (402) 385-3350
- NPI assigned
- Nov 29, 2011
- 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 | 13890 | NE | Primary |
Addresses
Primary practice location
958 Wellness Way Ste 2
Pender, NE 68047-4518
Mailing address
2100 Centennial Rd
Wayne, NE 68787-8114
Phone (402) 649-1781
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 |
|---|---|---|---|
| 13890 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pender Care Centre District Inc | Past | Accepting new patients | |
| Pender Care Centre District 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Pender, NE
- NPI 1548688534
-
- Community/Retail Pharmacy
- Emerson, NE
- NPI 1871066159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1720355191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 CENTENNIAL RD",
"city": "WAYNE",
"state": "NE",
"postal_code": "687878114",
"telephone_number": "402-649-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 WELLNESS WAY STE 2",
"city": "PENDER",
"state": "NE",
"postal_code": "680474518",
"telephone_number": "402-385-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "JORDAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pender, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.