Active NPI
Chad Hansen
- Pharmacist
- Salt Lake City, UT
National Provider Identifier
1811500309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7685284-1701
- Practice address
- 3291 S Highland Dr
Salt Lake City, UT 84106-3022 - Phone
- (801) 478-0127
- Fax
- (801) 478-0146
- NPI assigned
- Aug 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P7483 | ID | |
| Pharmacist | 183500000X | 7685284-1701 | UT | Primary |
Addresses
Primary practice location
3291 S Highland Dr
Salt Lake City, UT 84106-3022
Mailing address
3291 S Highland Dr
Salt Lake City, UT 84106-3022
Phone (801) 478-0127
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 |
|---|---|---|---|
| P7483 | ID | MD | Pharmacist |
| 7685284-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3291 S Highland Dr
Millcreek, UT 84106
Phone (801) 478-0127
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1811500309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 S HIGHLAND DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063022",
"telephone_number": "801-478-0127",
"fax_number": "801-478-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 S HIGHLAND DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063022",
"telephone_number": "801-478-0127",
"fax_number": "801-478-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CHAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P7483",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7685284-1701",
"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 25, 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.