Jared Van Hooser

Primary specialty

PharmacistTaxonomy code 183500000X

License

121972 Issued in MN

Practice address

420 E 1St St
Mailbox: 1S3W10
Duluth, MN 55805-1901

Phone

(218) 786-2151

NPI assigned

Aug 11, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Duluth Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1245278209
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1093124497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 1ST ST",
            "address_2": "MAILBOX: 1S3W10",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 1ST ST",
            "address_2": "MAILBOX: 1S3W10",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051901",
            "telephone_number": "218-786-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558032624",
            "country_code": "US",
            "telephone_number": "218-249-8800",
            "fax_number": "218-249-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN HOOSER",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Turner Vallie, PA-C
• Kerry Lynn Van Dusen, PSYD LP
• Jacquelyn Ann Van Ert
• Ellie Van Gilder, PA-C
• Erin Jane Van Hon, RD/LD
• Amy Van Loon, PHARMD
• Derin John Van Loon, OD
• Jean Van Pelt
• Megan Alicia Van Seeters, DPT
• Aimee Nelson Van Straaten, MD

• Pharmacist in Duluth, MN
• Providers in Duluth, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.