JESSE LEE MAUGHAN (NPI# 1396055042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396055042 |
| Entity Type | Individual |
| Full Name | JESSE LEE MAUGHAN |
| Credential | PHARMD |
| Practice Address |
1080 S Hwy 118 Richfield UT 84701 |
| Mailing Address |
Po Box 332 Annabella UT 84711-0332 |
| Practice Telephone | 4358968489 |
| Mailing Telephone | 4357603504 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5887548-8911 | UT | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 5887548-1701 | UT | Pharmacy Service Providers |
| Street Address |
1080 S HWY 118 |
| City | RICHFIELD |
| State | UT |
| Zip Code | 84701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863893 | Central Utah Dermatology | Dermatology | 861 N Main, Richfield, UT 84701 | 2020-02-21 |
| 1518420868 | Jason Olsen | Pharmacist | 1000 N. Main St., Retail Pharmacy, Richfield, UT 84701 | 2019-04-12 |
| 1629254552 | Trenton Dayle Thalman | Dentist | 130 E 600 N, Richfield, UT 84701 | 2008-01-10 |
| 1215141817 | Chris G Farrer | Social Worker | 682 North Main, Richfield, UT 84701 | 2007-05-10 |
| 1265576326 | Ihc Health Services Inc | Obstetrics & Gynecology | 1000 N Main St Ste A, Richfield, UT 84701 | 2007-02-20 |
| 1780725275 | Scott Dewey Henderson | Social Worker | 681 N Main, Richfield, UT 84701 | 2007-02-09 |
| 1497800742 | Lds Family Services | Clinic/Center | 681 North Main, Richfield, UT 84701 | 2007-01-25 |
| 1053480368 | Roger J Oldroyd | Dentist | 490 North Main, Richfield, UT 84701 | 2006-11-08 |
| 1013018084 | Richard I Yardley | Optometrist | 90 East Center, Richfield, UT 84701 | 2006-09-25 |
| 1215968334 | K Mart Corp | Pharmacy | 1040 South Us Highway 89, Richfield, UT 84701 | 2006-07-06 |
| Find all providers in zip 84701 | ||||
| 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 |
|---|---|---|---|---|
| 1518420868 | Jason Olsen | Pharmacist | 1000 N. Main St., Retail Pharmacy, Richfield, UT 84701 | 2019-04-12 |
| 1104381201 | Paradym Healthcare, LLC | Pharmacist | 3728 Braemar Dr, Richfield, OH 44286-9035 | 2019-02-04 |
| 1770807729 | Gary R. Barben | Pharmacist | 1080 S Highway 118, Richfield, UT 84701-3115 | 2010-03-19 |
| 1841238953 | Gary M Oien | Pharmacist | 6228 Penn Ave S, Richfield, MN 55423-1135 | 2006-06-02 |
| 1760083133 | Brian Jensen | Pharmacist | 10 E 1300 S, Richfield, UT 84701-3122 | 2020-11-03 |
| 1629603097 | Michael Anthony Haas | Pharmacist | 6540 Penn Ave S, Richfield, MN 55423-1143 | 2020-03-06 |
| 1437637097 | Nicole Mary Carr | Pharmacist | 6445 Richfield Pkwy, Richfield, MN 55423-6400 | 2018-08-04 |
| 1649757162 | Tomeka Prichard | Pharmacist | 396 W Church St, Richfield, NC 28137-5717 | 2018-07-26 |
| 1902258353 | Steven Wesbur | Pharmacist | 6445 Richfield Pkwy, Richfield, MN 55423-6400 | 2016-07-11 |
| 1568838761 | Liyan Feng | Pharmacist | 12 W 66th St, Richfield, MN 55423-2316 | 2015-08-11 |
| Find all providers in RICHFIELD | ||||
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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.