BEVAN JENSEN


Address: 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103
Phone: 8016621680

BEVAN JENSEN (NPI# 1336542778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336542778
Entity Type Individual
Full Name BEVAN JENSEN
Credential PHARMD
Practice Address 100 Mario Capecchi Dr
Salt Lake City
UT 84113-1103
Practice Telephone 8016621680
Mailing Telephone 8016621680
Enumeration Date 2014-09-30
Last Update Date 2014-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 6458387 UT Pharmacy Service Providers

Office Location

Street Address 100 MARIO CAPECCHI DR
City SALT LAKE CITY
State UT
Zip Code 84113-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033111810 Andrew Gerald Smith Legal Medicine 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2005-08-11
1235535485 Ihc Health Services Inc Clinic/Center 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-11-17
1508262833 Aimee Brierley Occupational Therapist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-11-13
1801290986 Jeffery Zobell Pharmacist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-10-17
1699183152 Kristina Rogers Dentist 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-07-29
1548677297 Stephanie Eva Wisniewski Speech-Language Pathologist 100 Mario Capecchi Dr, Primary Children's Rehab, Salt Lake City, UT 84113-1103 2014-07-15
1184044877 Adam Wesley Dell Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-04-21
1225456718 Bhanu Muniyappa Pediatrics 100 Mario Capecchi Dr, Pediatrics Residency Program, Salt Lake City, UT 84113-1103 2014-04-01
1265850952 Kristina Gulliver Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-03-31
1003233040 Kaitlin Carpenter Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245830108 Chadwick M Smith Pharmacist 7494 S 2135 E, Salt Lake City, UT 84121-4970 2020-10-29
1568074318 Kelli Thorup Pharmacist 458 E Emerson Ave, Salt Lake City, UT 84115-1531 2020-08-21
1376154435 James Lindsay Clark Pharmacist 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 2020-08-12
1699392530 Rebecca Lavasani Pharmacist 1813 E Orchard Dr, Salt Lake City, UT 84106-3258 2020-06-26
1912541772 Alesia Lynne Hanson Pharmacist 2233 S Presidents Dr Ste B, Salt Lake City, UT 84120-7244 2019-11-04
1316596554 Adam Davies Pharmacist 1280 E Stringham Ave., Salt Lake City, UT 84106 2019-09-10
1346899085 Nathan Wilson Pharmacist 1950 Circle of Hope Dr Ste N1780, Salt Lake City, UT 84112-5500 2019-09-05
1437711918 Hillary Hansen Parkin Pharmacist 85 N Medical Dr, Salt Lake City, UT 84112-1100 2019-07-03
1972087328 Reza Salman Pharmacist 4720 S Fortuna Way, Salt Lake City, UT 84124-5620 2018-09-21
1801373022 John Gardner Pharmacist 1280 E Stringham Ave, Salt Lake City, UT 84106-2490 2018-07-20
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84113

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Dataset Information

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.

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