GARY NAKKEN (NPI# 1811388705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811388705 |
| Entity Type | Individual |
| Full Name | GARY NAKKEN |
| Practice Address |
863 N 980 W Orem UT 84057-7710 |
| Practice Telephone | 8016072138 |
| Practice Fax Number | 8012252388 |
| Mailing Telephone | 8016072138 |
| Mailing Fax Number | 8012252388 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 7214363-1703 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871904797 | Gary Nathan Nakken | Family Medicine | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2014-05-13 |
| Street Address |
863 N 980 W |
| City | OREM |
| State | UT |
| Zip Code | 84057-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962894758 | Premier Care Pharmacy | Pharmacy | 863 N 980 W, Orem, UT 84057-7710 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| 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 |
|---|---|---|---|---|
| 1467869453 | Rite Aid Corporation | Pharmacist | 1550 N State St, Orem, UT 84057-2548 | 2014-07-22 |
| 1275827867 | David R Glenn | Pharmacist | 1550 North Sate Street, Orem, UT 84057-0000 | 2011-06-01 |
| 1194848267 | Ji Yon Park | Pharmacist | 476 N 1235 W, Orem, UT 84057-3550 | 2007-04-06 |
| 1760590038 | Frank Edward Pawlus | Pharmacist | 475 N State St, Orem, UT 84057-3801 | 2006-08-28 |
| 1467401547 | Alissa Nielsen | Pharmacist | 838 W 880 N, Orem, UT 84057 | 2006-05-08 |
| 1689275877 | Staci Wright | Pharmacist | 1355 Sandhill Rd, Orem, UT 84058-7307 | 2020-11-04 |
| 1386244556 | Sheila Zamanyfar | Pharmacist | 1355 Sandhill Rd, Orem, UT 84058-7307 | 2020-10-28 |
| 1538769906 | Pratik Patel | Pharmacist | 1355 Sandhill Rd, Orem, UT 84058-7307 | 2020-10-27 |
| 1417560368 | Devan Andrew Larsen | Pharmacist | 763 N State St, Orem, UT 84057-3807 | 2020-08-28 |
| 1518570712 | Lesley Mukai | Pharmacist | 763 N State St, Orem, UT 84057-3807 | 2020-08-26 |
| Find all providers in OREM | ||||
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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.