DR. REUBEN KENRICK NIELSEN (NPI# 1063661593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063661593 |
| Entity Type | Individual |
| Full Name | DR. REUBEN KENRICK NIELSEN |
| Credential | PHARMD |
| Practice Address |
5632 S 900 E Murray UT 84121-1034 |
| Mailing Address |
5658 Marco Rd Murray UT 84121-1070 |
| Practice Telephone | 8012621025 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 336267-1701 | UT | Pharmacy Service Providers |
| Street Address |
5632 S 900 E |
| City | MURRAY |
| State | UT |
| Zip Code | 84121-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356674667 | Maceys Inc | Pharmacy | 5632 S 900 E, Murray, UT 84121-1034 | 2009-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| 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 |
|---|---|---|---|---|
| 1639712292 | Tanner C Woodrow | Pharmacist | 655 W 5300 S, Murray, UT 84123-5671 | 2019-10-25 |
| 1952863706 | Adrianna Maria Adam | Pharmacist | 356 E 6340 S, Murray, UT 84107-7546 | 2019-04-02 |
| 1114325537 | Anthony May | Pharmacist | 5381 S Green St, Murray, UT 84123-4661 | 2014-12-17 |
| 1215217948 | Ann Marie Barbiero | Pharmacist | 1352 Shays Grove Ln, Murray, UT 84121-1915 | 2011-08-25 |
| 1104115997 | Milton Dale Frizzell | Pharmacist | 1502 S 12th St, Murray, KY 42071-8703 | 2011-03-31 |
| 1285842773 | Lisa Dimick | Pharmacist | 5201 Green St Ste 255, Murray, UT 84123-4618 | 2007-05-18 |
| 1528281763 | Michelle White | Pharmacist | 5770 S 250 E Ste 145, Murray, UT 84107-8138 | 2007-04-10 |
| 1144205782 | Patricia Tabers Hughes | Pharmacist | 1296 Bazzell Cemetery Rd, Murray, KY 42071-8059 | 2005-12-07 |
| 1568469724 | Aaron Robert Perkins | Pharmacist | 803 Poplar St, Murray, KY 42071-2432 | 2005-07-03 |
| 1497355572 | Kelsey Lee Kelsch | Pharmacist | 4627 S 900 E, Murray, UT 84117-4879 | 2020-10-28 |
| Find all providers in MURRAY | ||||
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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.