KIERSTAN HANSON


Address: 611 E Douglas Rd, Suite 412, Mishawaka, IN 46545-1464
Phone: 5743356503

KIERSTAN HANSON (NPI# 1720400328) 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) 1720400328
Entity Type Individual
Full Name KIERSTAN HANSON
Credential PHARMD
Practice Address 611 E Douglas Rd
Suite 412
Mishawaka
IN 46545-1464
Mailing Address 10627 Diebold Rd
Fort Wayne
IN 46845-8606
Practice Telephone 5743356503
Mailing Telephone 2602402745
Enumeration Date 2014-01-16
Last Update Date 2016-01-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
26022910A IN Pharmacy Service Providers
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
5302039366 MI Pharmacy Service Providers

Office Location

Street Address 611 E DOUGLAS RD
SUITE 412
City MISHAWAKA
State IN
Zip Code 46545-1464

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770587321 Sachin R. Patel Internal Medicine 611 E Douglas Rd, Ste 208, Mishawaka, IN 46545-1464 2005-06-10
1568923845 Joseph Knight Student in an Organized Health Care Education/Training Program 611 E Douglas Rd, Mishawaka, IN 46545-1464 2019-03-28
1740721240 Lindsay Snyder Pharmacist 611 E Douglas Rd, Suite 412, Mishawaka, IN 46545-1464 2017-03-16
1518408137 Lyndsay Gable Nurse Practitioner 611 E Douglas Rd, Suite 308, Mishawaka, IN 46545-1464 2017-03-15
1942684873 Michael James Kulju Student in an Organized Health Care Education/Training Program 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 2015-07-09
1427456912 Hanna Raber Pharmacist 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 2014-12-15
1033529938 Melissa Gillette Genetic Counselor, MS 611 E Douglas Rd, Ste. 408, Mishawaka, IN 46545-1468 2014-04-30
1396183158 Broderick C Howard Family Medicine 611 E Douglas Rd, Ste 137, Mishawaka, IN 46545-1464 2013-06-13
1174864524 Jennifer Brittny Werner Physical Therapist 611 E Douglas Rd, 403, Mishawaka, IN 46545-1464 2013-03-11
1043579550 Midwest Eye Consultants, P.C. Ophthalmology 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 2012-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649824103 Senior Helpers In Home Supportive Care 230 Catalpa Drive Suite B, Mishawaka, IN 46545 2019-08-01
1093272114 Candice Marie Greathouse Physical Therapy Assistant 3630 Hickory Road, Mishawaka, IN 46545 2019-02-25
1639662596 Mishawaka Rcf Lp Assisted Living Facility 3630 Hickory Rd, Mishawaka, IN 46545 2018-06-14
1760907299 Timothy John Howard Emergency Medicine 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 2017-08-05
1699203612 Paridhie Vasudevan Dentist 6502 Grape Rd Ste 882, Mishawaka, IN 46545 2017-06-03
1780134650 Ossip Optometry, PC Optometrist 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 2016-10-04
1457730038 Melissa Anne Douthit Nurse Practitioner 3665 Park Pl W Ste 300, Mishawaka, IN 46545 2015-05-28
1558759654 Spine and Joint Associates of Plymouth, Inc Chiropractor 229 Red Coach, Suite 106, Mishawaka, IN 46545 2014-12-26
1609264795 Spine and Joint Associates of Mishawaka, Inc Chiropractor 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 2014-12-26
1508260795 Maribel Smith Counselor 2989 Heritage Ct, Mishawaka, IN 46545 2014-10-16
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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124438023 Mark Schutts Pharmacist 3610 Bremen Hwy, Mishawaka, IN 46544-6500 2014-04-30
1871595579 Anita Marie Thomas Pharmacist 201 Lincoln Way W, Healthy Family Center, Mishawaka, IN 46544-1905 2005-08-12
1083102065 Joseph Alan Stoldt Pharmacist 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 2018-04-25
1427456912 Hanna Raber Pharmacist 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 2014-12-15
1629483615 David Alexander Pharmacist 3610 Bremen Hwy, Mishawaka, IN 46544-6500 2014-06-27
1053721852 Beth Ann Longbrake Pharmacist 5020 Grape Rd, Mishawaka, IN 46545-8708 2014-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265989933 Lauren Mcnace Pharmacist 10062 Heather Brooke Dr, Osceola, IN 46561-7803 2016-09-09
1568833960 Dawn D Christmas Pharmacist 5600 New Margaret Ave, Terre Haute, IN 47803 2015-10-12
1902277437 Erin Haggart Pharmacist 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 2015-10-09
1922415066 Meredith L Howard Pharmacist 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 2014-07-21
1255743472 Suzanne Reber Pharmacist 4901 Sr 26th E, Lafayette, IN 47960 2014-05-22
1174934558 Kristen Brock Pharmacist 400 N Dan Jones Rd, Plainfield, IN 46168-1802 2014-05-19
1962813535 Diane Farrington Pharmacist 6050 Us Hwy 6, Portage, IN 46368 2014-05-16
1093126120 Julie Collier Pharmacist 3600 Northportage Road, South Bend, IN 46628 2014-05-12
1588075717 J Curylo Pharmacist 3600 N Portage Rd, South Bend, IN 46628 2014-05-09
1609287986 Thomas Daniels Pharmacist 3600 North Portage Rd., South Bend, IN 46628 2014-05-08
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Competitor

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City MISHAWAKA
Zip Code 46545

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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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