John William Hancock, PHARMACIST
Individual provider Active NPI Pharmacotherapy Pharmacist · North Vernon, IN
NPI 1083997308 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1083997308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 26012219A (IN)
- Practice address
- 9 N State St
North Vernon, IN 47265-1723 - Phone
- (812) 346-4834
- NPI assigned
- Sep 22, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS23125 | FL | MD | Pharmacist |
| 26012219A | IN | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS23125 | FL | |
| Pharmacotherapy Pharmacist | 1835P1200X | 26012219A | IN | Yes |
Addresses
Primary practice location
9 N State St
North Vernon, IN 47265-1723
Mailing address
9 N State St
North Vernon, IN 47265-1723
Phone (812) 346-4834
Other providers in North Vernon, IN
- Anton Grankin
- Greenbrier Professionals, LLC
- Stacy Grider
- Emily Cumberworth Gunst
- Georgia Campbell Hall
- Shawna Lee Harmon
- Rabab Fatima Hashim
- Hearne Vision Care
- Kirk A Hearne
- Linda Hefner
All providers in North Vernon, IN · Pharmacotherapy Pharmacist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. 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.