ROGER MORRIS PEDERSEN (NPI# 1649794496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649794496 |
| Entity Type | Individual |
| Full Name | ROGER MORRIS PEDERSEN |
| Credential | PHARMD |
| Practice Address |
7321 Balmer St Hill Afb UT 84056-5012 |
| Mailing Address |
341 Boulevard Logan UT 84321-4722 |
| Practice Telephone | 8017770419 |
| Mailing Telephone | 2083176590 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
292286-1701 | UT | Pharmacy Service Providers |
| Street Address |
7321 BALMER ST |
| City | HILL AFB |
| State | UT |
| Zip Code | 84056-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113657 | Mark Allen Vanzant | Dentist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2005-09-12 |
| 1134784077 | Isaac Quinn Garrett | Dentist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2019-05-07 |
| 1811469604 | Michael Burnett | Physician Assistant | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2018-12-18 |
| 1164914024 | Lawrence Daniel Merket | Nurse Practitioner | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2018-06-05 |
| 1821501354 | Marc Allen Palmer | Psychologist | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2017-11-06 |
| 1740711209 | Eric Bernhard Williams | Pharmacist | 7321 Balmer St, 75 Mdg - Pharmacy, Hill Afb, UT 84056-5012 | 2017-03-24 |
| 1306394697 | Michael R Humphrey | Nurse Practitioner | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2016-09-14 |
| 1114368024 | Erin Elizabeth Reddis | Family Medicine | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2013-07-09 |
| 1942640875 | Josiah Moulton | Family Medicine | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2013-06-25 |
| 1053658641 | Broghan Enright | Physician Assistant | 7321 Balmer St, Bldg 570, Hill Afb, UT 84056-5012 | 2013-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629639885 | Brian A Silva | Physician Assistant | 7321 Balmer Street Bldg 570, Hill Air Force Base, UT 84056 | 2019-06-27 |
| 1245767045 | Keith Mele | Pharmacist | 7457 Weiner Street, Hill Air Force Base, UT 84056 | 2017-05-11 |
| 1235513540 | Joshua David Stumpf | Military Health Care Provider | 570 Balmer Street, Hill Afb, UT 84056 | 2015-07-16 |
| 1194107912 | Kelly Johnson | Social Worker | 75 Mdg, Mental Health Clinic, 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056 | 2015-06-29 |
| 1831449156 | Curt G Martin | Dentist | 7321 Balmer, 75 Mdg, Hill Afb, UT 84056 | 2012-09-13 |
| 1811253222 | Tiffany Amber Brakefield | Psychologist | 7309 Balmer St Bldg 545, Hill Afb, UT 84056 | 2012-04-10 |
| 1982910907 | Peter Shigeki Frandsen | Dentist | 7321 Balmer Street Bldg #570, Hill Afb, 75th Mdg/sgd, Hill Afb, UT 84056 | 2010-08-27 |
| 1861625436 | Michael David Brewer | Family Medicine | 7321 Balmer Ave, Hill Afb, UT 84056 | 2009-08-31 |
| 1780838789 | Nisha Ray Baur | Pediatrics | Bldg 569 Hill Afb, Clearfield, UT 84056 | 2008-11-05 |
| 1629230669 | Elizabeth A. Sherlock | Psychologist | 75 Mdg/sghc, 7321 11th Street, Bldg. 570, Hill Afb, UT 84056 | 2008-07-01 |
| Find all providers in zip 84056 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326673336 | Josh Love | Pharmacist | 11188 S Via Encantada Way, South Jordan, UT 84095-8167 | 2020-03-10 |
| 1447615687 | Gabriel Victor Fontaine | Pharmacist | 8030 S 1400 E, Sandy, UT 84093-6609 | 2015-12-15 |
| 1639442858 | Scott Howard Yost | Pharmacist | 10207 S 2165 E, Sandy, UT 84092-4014 | 2012-02-18 |
| 1447424916 | Jonathan Douglas Hoffman | Pharmacist | George E Wahlen Department of Veterans Ctr, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2008-04-16 |
| 1124207493 | Kim Dang | Pharmacist | 50 N Medical Dr Rm A050, Salt Lake City, UT 84132-0001 | 2007-11-02 |
| 1376766279 | Brian Barker | Pharmacist | 50 North Medical Drive (a050), University of Utah Hospital Dept of Pharmacy, Salt Lake City, UT 84123 | 2007-04-10 |
| 1093841272 | Elise Swenson | Pharmacist | 220 S 700 E, Salt Lake City, UT 84102-2106 | 2007-02-24 |
| 1639227713 | Nancy Lee Jewkes | Pharmacist | 25 West Main, Castle Dale, UT 84513 | 2007-01-08 |
| 1457374977 | Lisa L Wright | Pharmacist | 1580 W Antelope Dr Ste 130a, Layton, UT 84041-1173 | 2006-07-25 |
| 1699705558 | Bonnie Kathleen Portley | Pharmacist | Pharmacy Services #119, 500 Foothill Blvd., Salt Lake City, UT 84148-0001 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
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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.