Individual provider Active NPI

Vern Hansvick

  • Pharmacist
  • Hutchinson, MN
National Provider Identifier
1871889832
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
114656 Issued in MN
Practice address
1370 Highway 15 S
T1210
Hutchinson, MN 55350-3801
Phone
(320) 587-9576
Fax
(320) 587-9576
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 114656 MN Primary

Addresses

Primary practice location

1370 Highway 15 S
T1210
Hutchinson, MN 55350-3801

Mailing address

1370 Highway 15 S
T1210
Hutchinson, MN 55350-3801
Phone (320) 587-9576

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

LicenseStateTypeSpecialty
114656MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1871889832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 HIGHWAY 15 S",
            "address_2": "T1210",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503801",
            "telephone_number": "320-587-9576",
            "fax_number": "320-587-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 HIGHWAY 15 S",
            "address_2": "T1210",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503801",
            "telephone_number": "320-587-9576",
            "fax_number": "320-587-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSVICK",
        "first_name": "VERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.