DR. CODY KIM HANSEN (NPI# 1639388168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639388168 |
| Entity Type | Individual |
| Full Name | DR. CODY KIM HANSEN |
| Credential | PHARMD |
| Practice Address |
3611 Ducati Way Saint George UT 84790-6635 |
| Practice Telephone | 4356685898 |
| Practice Fax Number | 4356742963 |
| Mailing Telephone | 4356685898 |
| Mailing Fax Number | 4356742963 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 16444 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 5725931-8911 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787983 | Cody Hansen | Student in an Organized Health Care Education/Training Program | 51 N 39th St, Philadelphia, PA 19104-2640 | 2020-03-31 |
| 1750815031 | Cody Hansen | Chiropractor | 2114 Schofield Ave, Weston, WI 54476-2365 | 2017-04-13 |
| Street Address |
3611 DUCATI WAY |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-6635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| 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 |
|---|---|---|---|---|
| 1336550805 | John Loporto | Pharmacist | 228 S 2100 E, Saint George, UT 84790-1599 | 2014-05-18 |
| 1093145740 | Brett Alexander Hamilton | Pharmacist | 1050 E Brigham Rd, Apt 65, Saint George, UT 84790-8436 | 2013-11-16 |
| 1053694562 | Larry Jeffrey Cook | Pharmacist | 1920 N Lakota Dr Unit 62, Saint George, UT 84770-7441 | 2011-09-21 |
| 1538215058 | James Lerow Hodges | Pharmacist | 204 N Parler Ave # North, Saint George, SC 29477-2224 | 2007-01-26 |
| 1194870204 | Clem Fenn Mcewen | Pharmacist | 538 N 1300 E, Saint George, UT 84770-3222 | 2007-01-25 |
| 1255486445 | Marla Ann Bilton-westbury | Pharmacist | 701 N Parler Ave, Saint George, SC 29477-2233 | 2007-01-25 |
| 1487695938 | Suzanne Elizabeth Jones | Pharmacist | 571 E 400 S, Saint George, UT 84770-3716 | 2006-06-08 |
| 1013558915 | Michael Stokes | Pharmacist | 20 N Bluff St, Saint George, UT 84770-3334 | 2019-10-01 |
| 1447809116 | Sterling Kimball Coons | Pharmacist | 102 E City Center St, Saint George, UT 84770-3460 | 2019-09-05 |
| 1801341490 | Brittany Sanders | Pharmacist | 701 N Parler Ave, Saint George, SC 29477-2233 | 2016-08-24 |
| Find all providers in SAINT GEORGE | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
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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.