ALISA JORGENSEN STEWART (NPI# 1649509233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649509233 |
| Entity Type | Individual |
| Full Name | ALISA JORGENSEN STEWART |
| Other Name | ALISA GAIL JORGENSEN |
| Practice Address |
4190 Highland Dr Ste 250 Slc UT 84124-2781 |
| Mailing Address |
900 Village Bend Ln Midvale UT 84047-5685 |
| Practice Telephone | 8778790722 |
| Mailing Telephone | 8012145567 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4822083-8911 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389879 | Alisa Stewart | Behavior Technician | 4905 S 1500 W # 110, Riverdale, UT 84405-7176 | 2016-11-30 |
| 1467617266 | Alisa K Stewart | Optometrist | 424 Yellowstone Ave, Suite 110, Cody, WY 82414-9318 | 2008-07-22 |
| Street Address |
4190 HIGHLAND DR STE 250 |
| City | SLC |
| State | UT |
| Zip Code | 84124-2781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| 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 |
|---|---|---|---|---|
| 1932548211 | Shawn Atkins | Pharmacist | 847 E Wilshire Pl, Slc, UT 84102-3403 | 2013-06-19 |
| 1790050227 | Maryn Risenmay | Pharmacist | 1672 Roycroft Pl, Apt A, Slc, UT 84124-2593 | 2012-03-16 |
| 1750664785 | Giao L Tran | Pharmacist | 5586 W 6200 S, Slc, UT 84118 | 2011-09-26 |
| 1043526346 | Naida Sehovic | Pharmacist | 2332 E 2100 S, Slc, UT 84109-1319 | 2010-08-24 |
| 1578699278 | Carolyn G Kowalchik | Pharmacist | A050 University Hospital- Pharmacy, 50 N Medical Dr, Slc, UT 84132-0001 | 2007-02-26 |
| 1497895080 | M Christina Beckwith | Pharmacist | 421 Wakara Way Ste 204, Drug Information Service, University of Utah, Slc, UT 84108-3546 | 2007-02-06 |
| 1770183485 | William Eugene Kunzler | Pharmacist | 3802 S 700 E, Slc, UT 84106-1182 | 2020-10-30 |
| 1235786773 | Richard Bishop | Pharmacist | 1550 S Redwood Rd, Slc, UT 84104-5105 | 2019-08-20 |
| 1003327404 | Erika Winegar | Pharmacist | 1676 E 1300 S, Slc, UT 84105-1704 | 2017-10-12 |
| 1407200652 | Mahnaz Payvarmehr | Pharmacist | 2000 S 900 E, Slc, UT 84105-3208 | 2016-04-13 |
| Find all providers in SLC | ||||
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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.