DEVAN HANSEN (NPI# 1366859498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366859498 |
| Entity Type | Individual |
| Full Name | DEVAN HANSEN |
| Credential | PHARMD |
| Practice Address |
1130 W Southern Ave Mesa AZ 85210-4993 |
| Practice Telephone | 4804611193 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S020654 | AZ | Pharmacy Service Providers |
| Street Address |
1130 W SOUTHERN AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85210-4993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043629934 | Karen Chemodurow | Pharmacist | 1130 W Southern Ave, Mesa, AZ 85210-4993 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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 |
|---|---|---|---|---|
| 1851992838 | Leila Cameron | Pharmacist | 1742 W Belfast St, Mesa, AZ 85201-6138 | 2020-11-05 |
| 1598247652 | Tyler Barton | Pharmacist | 240 W Baseline Rd # 3799, Mesa, AZ 85210-6107 | 2018-09-05 |
| 1720565393 | Andrew T Rayer | Pharmacist | 525 W Brown Rd Fl 7, Mesa, AZ 85201-3202 | 2018-07-25 |
| 1396264289 | Mercedes Maltbie | Pharmacist | 1915 South Power Road, Mesa, AZ 85206 | 2017-09-12 |
| 1558887430 | Lugina Bianca Mendez-harper | Pharmacist | 10707 E Deawalter Ave, Mesa, AZ 85212-8068 | 2017-08-22 |
| 1548645823 | Michelle Nguyen | Pharmacist | 3718 E Huber St, Mesa, AZ 85205-3901 | 2015-07-28 |
| 1366842239 | Hillary Lynn Coahran | Pharmacist | 2809 S. Sossaman Rd., Mesa, AZ 85212 | 2014-08-28 |
| 1386044493 | Liane Fossen | Pharmacist | 7026 E Roland St, Mesa, AZ 85207-1280 | 2014-08-26 |
| 1386058154 | Robert G Hayes | Pharmacist | 5001 E Main St Lot 880, Mesa, AZ 85205-1320 | 2014-06-19 |
| 1114339892 | Scott W Bonhus | Pharmacist | 11446 E Sebring Ave, Mesa, AZ 85212-7121 | 2014-05-29 |
| Find all providers in MESA | ||||
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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.