STACY RAE HARBERTSON (NPI# 1487932075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487932075 |
| Entity Type | Individual |
| Full Name | STACY RAE HARBERTSON |
| Practice Address |
1110 S 300 W Salt Lake City UT 84101-3053 |
| Mailing Address |
6431 S 1865 E Salt Lake City UT 84121-2119 |
| Practice Telephone | 8014019563 |
| Mailing Telephone | 8014404063 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7115078-1701 | UT | Pharmacy Service Providers |
| Street Address |
1110 S 300 W |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811202187 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1110 S 300 W, Salt Lake City, UT 84101-3053 | 2010-08-11 |
| 1629529607 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1110 S 300 W, Salt Lake City, UT 84101-3053 | 2016-10-14 |
| 1255747663 | Angela Joanne Hardcastle | Pharmacist | 1110 S 300 W, Salt Lake City, UT 84101-3053 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| 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 | 84101 |
Please comment or provide details below to improve the information on STACY RAE HARBERTSON.
| 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.