Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912128513 Individual Practitioner Male Practitioner

Ryan Terry Johansen

Pharmacist • Provo, UT

Professional Overview & Biography Verified Profile Summary

Ryan Johansen is a registered healthcare professional specializing in Pharmacist in Provo, UT. Practice services are available at 3179 N CANYON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3179 N Canyon Rd

Provo, UT 846043916

Telephone 8013772002
Fax 8013772007
Associated Practice Facility / Clinic
🏢 Canyon Pharmaceutical, Llc Facility NPI 1346282951

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
65 Specialists

Practicing in Provo, UT (2037 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License UT 336415-1701

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1417385014

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 28, 2022

Registered at 3179 N CANYON RD, PROVO, UT 846043916 (Tel: 8013772002)

📍
Updated Business Mailing Address July 28, 2022

Registered at 3638 W 12125 S, RIVERTON, UT 840657404 (Tel: 8014402995)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11453 PARKWAY PLAZA DR, SOUTH JORDAN, UT 84095 (Tel: 8014955353)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3819 WEST MENDOCINO DR, RIVERTON, UT 84065 (Tel: 8013021442)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RYAN JOHANSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #336415-1701 in UT)

🟢
Initial NPI Registration & Enumeration May 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912128513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: July 28, 2022
Sole Proprietor: No

Mailing Address

3638 W 12125 S

Riverton, UT 840657404

Phone: 8014402995

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.