SHANE EDWIN HANCOCK PHARMD NPI 1417410309

NPI Information

  • NPI: 1417410309
  • Provider Name: SHANE EDWIN HANCOCK, PHARMD
  • Classification: Pharmacist - 183500000X
  • Entity Type: Individual
  • Address: 3895 HARRISON BLVD
    C/O 1ST FLOOR PHARMACY
    OGDEN, UT
    ZIP 84403
  • Phone: (801) 387-8550

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NPI Details

Shane Edwin Hancock, PHARMD is a pharmacist in Ogden, UT. The provider is 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. Shane Edwin Hancock, PHARMD NPI is 1417410309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3895 HARRISON BLVD
C/O 1ST FLOOR PHARMACY
OGDEN, UT
ZIP 84403-440
Phone: (801) 387-8550
Fax: (801) 387-8555

The enumeration date for this NPI number is 4/9/2019 and was last updated on 4/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist7325645-1701UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17325645-8911OTHERUTAHUTAH STATE PHARMACIST CONTROLLED SUBSTANCES LICENSE
27325645-1701OTHERUTAHUTAH STATE PHARMACIST LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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