Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1114518628 Deactivated / Inactive NPI Male Practitioner

Dr. Shane Michael Jensen , PharmD

Pharmacist • West Jordan, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shane Jensen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2021
NPI Deactivation Date April 16, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Shane Jensen, PharmD was a registered Pharmacist practicing in West Jordan, UT. Throughout an active medical career spanning 5 years, Dr. Jensen provided care at the practice location at 3570 W 9000 S STE 150 until profile deactivation on 2026-04-16.

Practice Location & Contact Primary Location

Practice Address

3570 W 9000 S Ste 150

West Jordan, UT 840888872

Telephone 8015690175
Associated Practice Facility / Clinic
🏢 Family Plaza Pharmacy Inc Facility NPI 1609493667

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in West Jordan, UT

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

Practicing in West Jordan, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License UT 5011006-1701

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

2 Associated Practitioners
NPI 1689265290

Doctor of Pharmacy (Pharm.D.)

Justin Harpole , CPHT

Pharmacy Technician

NPI 1851257620

Certified Pharmacy Technician

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 16, 2026

Record deactivated on April 16, 2026

NPI Profile Active January 27, 2021

NPI status registered as active in NPPES database

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Updated Practice Location January 27, 2021

Registered at 3570 W 9000 S STE 150, WEST JORDAN, UT 840888872 (Tel: 8015690175)

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Updated Business Mailing Address January 27, 2021

Registered at 3570 W 9000 S STE 150, WEST JORDAN, UT 840888872 (Tel: 8015690175)

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Provider Name / Credentials Updated January 27, 2021

Recorded as SHANE JENSEN, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2021

Pharmacist (License #5011006-1701 in UT)

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Initial NPI Registration & Enumeration January 27, 2021

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: 1114518628
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2021
Last Update: January 27, 2021
Deactivation Date: April 16, 2026

Mailing Address

3570 W 9000 S Ste 150

West Jordan, UT 840888872

Phone: 8015690175

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.