MR. LUCAS N HENDRICKS (NPI# 1053735258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053735258 |
| Entity Type | Individual |
| Full Name | MR. LUCAS N HENDRICKS |
| Practice Address |
339 E 3900 S Salt Lake City UT 84107-1677 |
| Practice Telephone | 8013501674 |
| Mailing Telephone | 8013501674 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 7458362-1717 | UT | Pharmacy Service Providers |
| Street Address |
339 E 3900 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427241843 | Paul C Bruderer Od, PC | Optometrist | 339 E 3900 S, Suite 150, Salt Lake City, UT 84107-1677 | 2007-08-20 |
| 1497292791 | Future Rising Agency | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 339 E 3900 S, Suite 150, Salt Lake City, UT 84107-1677 | 2017-01-24 |
| 1437573649 | Cold Front Pharmacy | Pharmacy | 339 E 3900 S, Suite 150, Salt Lake City, UT 84107-1677 | 2014-02-07 |
| 1164794434 | De Novo Services LLC | Counselor | 339 E 3900 S, Suite 155, Salt Lake City, UT 84107-1677 | 2012-02-02 |
| 1346495298 | Metamorphosis Salt Lake City, Inc. | Clinic/Center | 339 E 3900 S, Suite 101, Salt Lake City, UT 84107-1677 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245796358 | Crystal Paredes | Pharmacy Technician | 1020 S Main St Ste 110, Salt Lake City, UT 84101-3176 | 2019-02-13 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1588724397 | Jolley's Corner Variety, Inc. | Pharmacy Technician | 1676 E 1300 S, Salt Lake City, UT 84105-1704 | 2006-12-11 |
| 1265546584 | Jason Allen Dunn | Pharmacy Technician | 1260 E Vine St, Salt Lake City, UT 84121 | 2006-08-17 |
| 1700487048 | Michelle Teresa Wilcock | Pharmacy Technician | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-11-03 |
| 1023621232 | Thomas Alan Good Lance White Bull | Pharmacy Technician | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-08-26 |
| 1073125373 | Brenda Lee Waller | Pharmacy Technician | 729 N Redwood Rd, Salt Lake City, UT 84116-1909 | 2020-08-18 |
| 1134738792 | Bailee Marie Anderson | Pharmacy Technician | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-07-29 |
| 1538788013 | Andrew Ronald Johnson | Pharmacy Technician | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-04-14 |
| 1821562760 | Christopher Davis | Pharmacy Technician | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2019-01-14 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on MR. LUCAS N HENDRICKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.