BRANDON NIELSEN (NPI# 1871106765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871106765 |
| Entity Type | Individual |
| Full Name | BRANDON NIELSEN |
| Practice Address |
420 S Main St Springville UT 84663-2251 |
| Practice Telephone | 8018531214 |
| Practice Fax Number | 8018531217 |
| Mailing Telephone | 8018531214 |
| Mailing Fax Number | 8018531217 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9569355-1701 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811469315 | Brandon Elias Nielsen | Counselor | 338 Highway 99 N, Eugene, OR 97402-2404 | 2018-12-20 |
| 1033559026 | Brandon Clark Nielsen | Optometrist | 568 Falls Ave, Twin Falls, ID 83301-3314 | 2013-07-05 |
| 1477835817 | Brandon Nielsen | Social Worker | 934 S Main St, Layton, UT 84041-7135 | 2011-09-12 |
| Street Address |
420 S MAIN ST |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702737 | Yu Miao | Pharmacist | 420 S Main St, Springville, UT 84663-2251 | 2020-08-28 |
| 1619254604 | Gregory Brent Wilding | Pharmacist | 420 S Main St, Springville, UT 84663-2251 | 2011-11-04 |
| 1669487609 | Walgreen Co | Pharmacy | 420 S Main St, Springville, UT 84663-2251 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| 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 |
|---|---|---|---|---|
| 1508394578 | Kathryn Clairena Stanton | Pharmacist | 160 Springville Station Blvd, Springville, AL 35146 | 2017-06-02 |
| 1225577463 | Jerome Prusack | Pharmacist | 6591 State Route 29, Springville, PA 18844-7608 | 2017-02-21 |
| 1699140061 | Darryl Ivanson | Pharmacist | 407 Foxridge Dr, Springville, IN 47462-5024 | 2015-12-10 |
| 1801200324 | Nathan Christian | Pharmacist | 1117 W 400 S, Springville, UT 84663-3061 | 2014-06-12 |
| 1124341128 | Susan K Bancroft | Pharmacist | 316 S.cascade Dr., Springville, NY 14141 | 2010-03-04 |
| 1538340278 | Darren W Love | Pharmacist | 184 So Cascade Dr, Springville, NY 14141 | 2007-11-23 |
| 1295915494 | Stephan D Seybolt | Pharmacist | 184 S Cascade Dr, Springville, NY 14141-9275 | 2007-11-06 |
| 1720689532 | Anna Stewart | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-06 |
| 1134720485 | Rebecca Youngberg | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-03 |
| 1700487360 | Daniel Clark | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-02 |
| Find all providers in SPRINGVILLE | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
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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.