Active NPI
Jordan Randall Hanson, PHARMD
- Pharmacist
- Montevideo, MN
National Provider Identifier
1821544271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 120617
- Practice address
- 3001 E Highway 7
Suite 100
Montevideo, MN 56265-4556 - Phone
- (320) 269-5496
- Fax
- (320) 269-8575
- NPI assigned
- Aug 26, 2016
- Last updated
- Aug 26, 2016
- 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 | 120617 | MN | Primary |
Addresses
Primary practice location
3001 E Highway 7
Suite 100
Montevideo, MN 56265-4556
Mailing address
3001 E Highway 7
Suite 100
Montevideo, MN 56265-4556
Phone (320) 269-5496
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 |
|---|---|---|---|
| 120617 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1821544271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 E HIGHWAY 7",
"address_2": "SUITE 100",
"city": "MONTEVIDEO",
"state": "MN",
"postal_code": "562654556",
"telephone_number": "320-269-5496",
"fax_number": "320-269-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E HIGHWAY 7",
"address_2": "SUITE 100",
"city": "MONTEVIDEO",
"state": "MN",
"postal_code": "562654556",
"telephone_number": "320-269-5496",
"fax_number": "320-269-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "JORDAN",
"middle_name": "RANDALL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "120617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montevideo, MN
- Gunlogson Family Chiropractic, P.a. (Cornerstone Chiropractic Health Partners)
- Jennifer Erin Gunlogson, D.C.
- Samuel Gunlogson, D.C.
- Patrick John Hanna, M.D.
- Ona Mae Hanson-Gustafson, MSW
- Randi Harlow
- Hearing Care by Gina LLC
- Becky Agnes Holzheimer, RN
- Hope Restored TMS PLLC
- Pamela Jean Jacobson, PSY.D., L.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.