DR. LANCE S LEAVITT (NPI# 1609417591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609417591 |
Entity Type | Individual |
Full Name | DR. LANCE S LEAVITT |
Credential | PHARMACIST |
Practice Address |
5448 W Daybreak Pkwy South Jordan UT 84009-5901 |
Practice Telephone | 8015017180 |
Enumeration Date | 2019-10-02 |
Last Update Date | 2019-10-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 8409616-1701 | UT | Pharmacy Service Providers |
Street Address |
5448 W DAYBREAK PKWY |
City | SOUTH JORDAN |
State | UT |
Zip Code | 84009-5901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770930802 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 5448 W Daybreak Pkwy, South Jordan, UT 84009-5901 | 2016-05-18 |
1366080756 | Kristin Minson | Pharmacist | 5448 W Daybreak Pkwy, South Jordan, UT 84009-5901 | 2019-12-16 |
1629526736 | Jonathan Wesley George | Pharmacist | 5448 W Daybreak Pkwy, South Jordan, UT 84009-5901 | 2016-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104347061 | Pony Express Dental Daybreak, LLC | Clinic/Center | 5396 W Daybreak Parkway, South Jordan, UT 84009 | 2017-06-30 |
1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
1811396260 | Out of This World Dentistry Sj PC | Dentist | 10426 S. 4000 W., South Jordan, UT 84009 | 2014-08-21 |
1184970956 | Robert Owyn Lindquist IIi | Social Worker | 10609 S. Granby Way, South Jordan, UT 84009 | 2012-07-31 |
1013138254 | Kelly Kristen Adams | Pediatrics | 4686 W Crosswater Road, South Jordon, UT 84009 | 2007-05-02 |
1760081061 | Someone To Talk To | Psychologist | 10352 S Sturgeon Dr, South Jordan, UT 84009-1218 | 2020-10-19 |
1699317685 | Daybreak Pdc Pllc | Dentist | 4040 West Daybreak Pkwy, Suite 103, South Jordan, UT 84009-1286 | 2019-10-11 |
1518414911 | Charli Danielle Peters | Nurse Practitioner | 9636 S Skye Park Rd, South Jordan, UT 84009-1506 | 2016-09-02 |
1760933832 | Naomi Mackert | Massage Therapist | 4988 W Wood Ranch Dr, South Jordan, UT 84009-1532 | 2016-10-24 |
1396285425 | Preston Howard Catmull | Physical Therapist | 9988 S Hook Dr, South Jordan, UT 84009-2786 | 2017-03-08 |
Find all providers in zip 84009 |
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 |
---|---|---|---|---|
1508397654 | Trent Stilson Wakefield | Pharmacist | 5024 W Frogs Leap Dr, Apt 1305, South Jordan, UT 84009-4733 | 2017-03-21 |
1326456740 | Skyler Sugden | Pharmacist | 3749 W Elk Vista Ln, South Jordan, UT 84095-9558 | 2014-07-29 |
1457628547 | Keith Page | Pharmacist | 2622 W 11275 S, South Jordan, UT 84095-8377 | 2011-11-17 |
1083998009 | Christopher M. Workman | Pharmacist | 11249 Slate View Dr, South Jordan, UT 84095-5200 | 2011-10-10 |
1831473594 | Robert Jason Gygi | Pharmacist | 3893 Sage Point Way, South Jordan, UT 84095 | 2011-09-29 |
1346523958 | Russell Brown | Pharmacist | 3571 W South Jordan Pkwy, South Jordan, UT 84095-7173 | 2011-09-21 |
1508150855 | Jillian Jessop | Pharmacist | 11525 Parkway Plaza Dr, T-2123, South Jordan, UT 84095-5605 | 2011-06-03 |
1164744082 | Randy H Martindale | Pharmacist | 10578 North Forty Way, South Jordan, UT 84095 | 2010-02-19 |
1417146028 | Spencer Snyder | Pharmacist | 3583 W. 9800 S., South Jordan, UT 84095 | 2007-10-18 |
1457571614 | Jeremy John Bromley | Pharmacist | 11453 Parkway Plaza Dr, South Jordan, UT 84095 | 2007-04-27 |
Find all providers in SOUTH JORDAN |
City | SOUTH JORDAN |
Zip Code | 84009 |
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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.