Don Ennis Hogan, RPH
Individual provider Active NPI Pharmacist · Ashland, AL
NPI 1033434949 · NPPES record last updated Apr 2, 2010
Key facts
- NPI
- 1033434949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5645 (AL)
- Practice address
- 83825 Highway 9
Ashland, AL 36251-7981 - Phone
- (256) 354-1160
- Fax
- (256) 354-1246
- NPI assigned
- Apr 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5645 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5645 | AL | Yes |
Addresses
Primary practice location
83825 Highway 9
Ashland, AL 36251-7981
Mailing address
199 Wesobulga St
Lineville, AL 36266-4743
Phone (256) 396-5675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5645 | Other | AL | PHARMACY LICENSE |
Other providers in Ashland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.