Active NPI
Brett Hansen, PHARMD
- Pharmacist
- Denver, IA
National Provider Identifier
1740569276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20835
- Practice address
- 340 S State St
Denver, IA 50622-7706 - Phone
- (319) 984-5691
- Fax
- (319) 984-5687
- NPI assigned
- Aug 15, 2011
- 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 | 20835 | IA | Primary |
Addresses
Primary practice location
340 S State St
Denver, IA 50622-7706
Mailing address
340 S State St
PO Box 120
Denver, IA 50622
Phone (319) 984-5691
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 |
|---|---|---|---|
| 20835 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rjgrx Inc | Current | Accepting new patients |
Locations
340 S State St
Denver, IA 50622
Phone (319) 984-5691
Organizations & group practices 1
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
- Denver, IA
- NPI 1124192539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1740569276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S STATE ST",
"address_2": "PO BOX 120",
"city": "DENVER",
"state": "IA",
"postal_code": "50622",
"telephone_number": "319-984-5691",
"fax_number": "319-984-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S STATE ST",
"city": "DENVER",
"state": "IA",
"postal_code": "506227706",
"telephone_number": "319-984-5691",
"fax_number": "319-984-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "BRETT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-15",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.