ALICIA CORINNE HANSEN (NPI# 1225697311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225697311 |
| Entity Type | Individual |
| Full Name | ALICIA CORINNE HANSEN |
| Practice Address |
12623 S Redwood Rd Riverton UT 84065-6606 |
| Practice Telephone | 8012544916 |
| Mailing Telephone | 8012544916 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6885489 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1184792293 | Alicia Susana Hansen | Clinical Neuropsychologist | 524 N Maryland Ave Apt 1, Glendale, CA 91206-2266 | 2006-11-30 |
| 1396839874 | Alicia Marie Berger Hansen | Dentist | 5201 S Western Ave, Sioux Falls, SD 57108-5040 | 2006-10-02 |
| 1740836758 | Alicia Marie Hansen | Community Health Worker | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2019-08-15 |
| 1518372408 | Alicia Hansen | Occupational Therapist | 1911 N 11th St, Bismarck, ND 58501-1915 | 2014-06-30 |
| Street Address |
12623 S REDWOOD RD |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-6606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831104876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12623 S Redwood Rd, Riverton, UT 84065-6606 | 2006-07-29 |
| 1407133366 | Raylene Ann Naftzger | Pharmacist | 12623 S Redwood Rd, Riverton, UT 84065-6606 | 2011-11-07 |
| 1356628358 | Vickie Heaton Empey | Pharmacist | 12623 S Redwood Rd, Riverton, UT 84065-6606 | 2011-11-04 |
| 1962787275 | Emmet Coleman | Pharmacist | 12623 S Redwood Rd, Riverton, UT 84065-6606 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1780058958 | Justin Rick Benson | Pharmacist | 5332 W Elk Horn Peak Dr, Riverton, UT 84096-6470 | 2015-11-25 |
| 1760854582 | Chance Keddington | Pharmacist | 3723 West 12600 South, Suite 170, Riverton, UT 84065 | 2015-10-21 |
| 1316314099 | Teresa Oldham | Pharmacist | 1202 West 12600 South, Wal-mart Pharmacy, Riverton, UT 84065 | 2015-08-28 |
| 1275808958 | Marianne Tyson | Pharmacist | 12279 Rosebriar Ln, Riverton, UT 84065-3110 | 2012-03-14 |
| 1053698076 | Aaron Duane Arnold | Pharmacist | 12623 S. Redwood Rd, Riverton, UT 84065-6606 | 2011-11-04 |
| 1386944213 | Sommer Pedersen | Pharmacist | 832 W Main St, Riverton, WY 82501 | 2010-10-26 |
| 1164745006 | William Alan Owens | Pharmacist | 1960 N Federal Blvd, Riverton, WY 82501-5204 | 2010-03-06 |
| 1649400011 | Michael Donald Baldwin | Pharmacist | 546 Glacier Cir, Riverton, WY 82501-2212 | 2009-07-20 |
| 1437216934 | Jaime L Salmon | Pharmacist | 1784 W 12600 S, Riverton, UT 84065-7025 | 2007-01-03 |
| Find all providers in RIVERTON | ||||
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| 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.