Trace R Hellstrom

Primary specialty

PharmacistTaxonomy code 183500000X

License

7034860-1701 Issued in UT

Practice address

2343 N 400 E
North Ogden, UT 84414-7232

Phone

(801) 917-1492

Fax

(801) 917-1492

NPI assigned

Oct 7, 2019

Last updated

Oct 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Trace R Hellstrom Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1821639170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147232",
            "telephone_number": "801-917-1492",
            "fax_number": "801-917-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147232",
            "telephone_number": "801-917-1492",
            "fax_number": "801-917-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLSTROM",
        "first_name": "TRACE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7034860-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACE",
            "last_name": "HELLSTROM",
            "middle_name": "R",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bradley Hansen, PT, DPT
• Heather Hansen, DMD
• Ryan Hardcastle
• Mark E Harris, DDS
• Curtis M Healey, MD
• Dana Lee Hernandez
• Tami Hunter
• Ihc Health Services Inc (North Ogden Clinic - InstaCare)
• Independence Home Care, LLC (Independence Hospice)
• Intermountain Dental Associates - Surgical Associates

• Pharmacist in North Ogden, UT
• Providers in North Ogden, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.