KIRK HANSON (NPI# 1366728206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366728206 |
| Entity Type | Organization |
| Organization Name | KIRK HANSON |
| Practice Address |
19679 Calgary Trl Farmington MN 55024-1488 |
| Mailing Address |
Po Box 21715 Eagan MN 55121-0715 |
| Practice Telephone | 6127203824 |
| Practice Fax Number | 8885466978 |
| Mailing Telephone | 6127203824 |
| Mailing Fax Number | 8885466978 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |
| Authorized Official Name | MR. KIRK EDWARD HANSON (CEO) |
| Authorized Official Telephone | 6127203824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335G00000X | Medical Foods Supplier | MN | Suppliers | |
| Y | 332900000X | Non-Pharmacy Dispensing Site | MN | Suppliers |
| Street Address |
19679 CALGARY TRL |
| City | FARMINGTON |
| State | MN |
| Zip Code | 55024-1488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245516178 | Specializaed Medical, Inc | Medical Foods Supplier | 19679 Calgary Trl, Farmington, MN 55024-1488 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758158 | Renetia Jackson | Technician | 1210 Spruce Street, Farmington, MN 55024 | 2019-09-10 |
| 1871094912 | Megan Provost | Registered Nurse | 17680 Formosa Ave, Farmington, MN 55024 | 2018-02-23 |
| 1356752463 | Your Vision Achieved, LLC | Marriage & Family Therapist | 5404 187th Street West, Farmington, MN 55024 | 2014-05-12 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
| 1770770828 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 19605 Pilot Knob Rd., Farmington, MN 55024 | 2007-10-02 |
| 1275725277 | Family Vision Clinic of Farmington | Optometrist | 19650 Pilot Knob Road, Farmington, MN 55024 | 2007-08-14 |
| 1871503136 | Independent School District #192 | Early Intervention Provider Agency | 20655 Flagstaff Avenue, Farmington, MN 55024 | 2006-08-09 |
| 1588692669 | Northfield Hospital | Clinic/Center | 4645 Knutsen Dr, Farmington, MN 55024 | 2006-06-29 |
| 1902887284 | David E Truax | Chiropractor | 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 | 2005-11-14 |
| Find all providers in zip 55024 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801456959 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 | 2019-06-19 |
| 1700353398 | Pain & Spine Specialists of Connecticut, LLC | Non-Pharmacy Dispensing Site | 11 South Rd Ste 250, Farmington, CT 06032-2484 | 2018-11-01 |
| 1982057501 | Midwest Health Group Convenient Care, LLC | Non-Pharmacy Dispensing Site | 550 Maple Valley Dr, Farmington, MO 63640-1981 | 2016-07-19 |
| 1760754386 | Midwest Health Group, LLC | Non-Pharmacy Dispensing Site | 508 W Pine St, Farmington, MO 63640-1426 | 2012-01-27 |
| 1174753305 | Health & Nutrition, LLC | Non-Pharmacy Dispensing Site | 630 Shepard Ln Ste 102, Farmington, UT 84025-3934 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
| 1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 55024 |
Please comment or provide details below to improve the information on KIRK HANSON.
| 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.