DR. DOUGLAS BURGOYNE (NPI# 1417270323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417270323 |
Entity Type | Individual |
Full Name | DR. DOUGLAS BURGOYNE |
Credential | PHARMD, RPH |
Practice Address |
4190 Highland Dr Suite 250 Salt Lake City UT 84124-2600 |
Practice Telephone | 8018651997 |
Mailing Telephone | 8018651997 |
Enumeration Date | 2010-03-05 |
Last Update Date | 2010-03-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 275563-1701 | UT | Pharmacy Service Providers |
Street Address |
4190 HIGHLAND DR SUITE 250 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84124-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598742231 | Kathleen Stroman King | Psychologist | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2005-12-23 |
1740562123 | Michael Bryce Warner | Dentist | 4190 Highland Dr, Salt Lake City, UT 84124-2600 | 2011-09-13 |
1679743009 | Bruce Kenneth Jacobson | Psychologist | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 | 2008-02-29 |
1467678938 | Grant B. Cannon | Dentist | 4190 Highland Dr, Suite 112, Salt Lake City, UT 84124-2600 | 2007-04-17 |
1396873279 | Linda C Gurrister | Social Worker | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2007-03-01 |
1578605143 | Janice Lynn Marcus | Counselor | 4190 Highland Dr, Salt Lake City, UT 84124-2600 | 2007-02-12 |
1548329964 | Jeffrey Ralph Grant | Social Worker | 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 | 2006-12-08 |
1578506697 | Jan Ellen Kaderabek Burton | Psychologist | 4190 Highland Dr, Salt Lake City, UT 84124-2600 | 2006-06-14 |
1417913575 | Bruce K Jacobson Ph D P C | Clinic/Center | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 | 2006-04-26 |
1518934744 | Karl E Seashore | Counselor | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 | 2006-03-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
Find all providers in zip 84124 |
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 |
---|---|---|---|---|
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 |
City | SALT LAKE CITY |
Zip Code | 84124 |
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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.