DR. EVE VAN WAGONER (NPI# 1205235967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205235967 |
Entity Type | Individual |
Full Name | DR. EVE VAN WAGONER |
Credential | PHARMD |
Practice Address |
5126 W Daybreak Pkwy South Jordan UT 84095-5994 |
Practice Telephone | 8012134565 |
Mailing Telephone | 8012134565 |
Enumeration Date | 2014-08-19 |
Last Update Date | 2014-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
6092375-1701 | UT | Pharmacy Service Providers |
Street Address |
5126 W DAYBREAK PKWY |
City | SOUTH JORDAN |
State | UT |
Zip Code | 84095-5994 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710972641 | Brandon Lee Reynolds | Obstetrics & Gynecology | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2005-09-16 |
1174121503 | Diana Palandri | Pharmacist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-10-16 |
1396358693 | Allison Yarborough | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-08-26 |
1275160947 | Samuel Druce Montmorency | Emergency Medical Technician, Basic | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-03-24 |
1275175176 | Laura Rice Kenney | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-10-11 |
1205481876 | Kendall Sauter | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-08-09 |
1922653351 | Ashley Joy Jensen | Advanced Practice Midwife | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-08-02 |
1881247427 | Erik Shane Hansen | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-23 |
1972156693 | Deborah Elizabeth Morgan | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-22 |
1548822265 | David Bennion | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
Find all providers in zip 84095 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700406873 | Alan John Macfarlane | Pharmacist | 10963 S Samoa Dune Dr, South Jordan, UT 84009-6004 | 2020-04-19 |
1104484377 | Vijay Kale | Pharmacist | 10920 S River Front Pkwy, South Jordan, UT 84095-3538 | 2019-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092249 | William Albert Jones | Pharmacist | 6173 S Haven Moor Cir, Salt Lake City, UT 84121-6525 | 2020-10-27 |
1639795198 | Jennifer Babin | Pharmacist | 30 S 2000 E Rm 4779, Salt Lake City, UT 84112-5820 | 2020-06-21 |
1245767045 | Keith Mele | Pharmacist | 7457 Weiner Street, Hill Air Force Base, UT 84056 | 2017-05-11 |
1225571482 | Mohamed Sallout | Pharmacist | Va Salt Lake City Mail Code 110 Poc, 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2016-11-21 |
1871940361 | Mar Sager Creixell | Pharmacist | 4421 Harrison Blvd Suite A-12, Ogden, UT 84403 | 2016-05-16 |
1720410624 | Brianne Marie Wolfe | Pharmacist | 2641 E Stringham Ave Apt 301c, Salt Lake City, UT 84109-3984 | 2013-08-01 |
1700128311 | Allen Miller | Pharmacist | 1090 W 275 S, Layton, UT 84041-5245 | 2013-03-21 |
1548540453 | Melissa Faye Archer | Pharmacist | 8134 S 805 E, Sandy, UT 84094-0631 | 2011-08-23 |
1750669743 | Mckay M Robinson | Pharmacist | 11779 Shadow View Ln, Draper, UT 84020-9689 | 2011-07-26 |
1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
Find all providers with the same taxonomy |
City | SOUTH JORDAN |
Zip Code | 84095 |
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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.