Active NPI
Austin Hansen
- Pharmacist
- Sioux Falls, SD
National Provider Identifier
1720573967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 106090
- Practice address
- 2501 W 22ND St
Sioux Falls, SD 57105-1305 - Phone
- (712) 899-4727
- NPI assigned
- Jun 29, 2018
- Last updated
- Oct 6, 2018
- 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 | 106090 | NE | Primary |
Addresses
Primary practice location
2501 W 22ND St
Sioux Falls, SD 57105-1305
Mailing address
4015 S Grand Slam PL Apt 10
Sioux Falls, SD 57110-4839
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106090 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538784000000",
"number": "1720573967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 S GRAND SLAM PL APT 10",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571104839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051305",
"telephone_number": "712-899-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-29",
"last_updated": "2018-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "106090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.