STACY RAE HARBERTSON


Address: 1110 S 300 W, Salt Lake City, UT 84101-3053
Phone: 8014019563

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 7115078-1701 UT Pharmacy Service Providers

Office Location

Street Address 1110 S 300 W
City SALT LAKE CITY
State UT
Zip Code 84101-3053

Providers in the same location

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

Providers in the same zip code

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 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 84101

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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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