Active NPI
Patricia Hogan, RPH
- Pharmacist
- East Prairie, MO
National Provider Identifier
1124391180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029959
- Practice address
- 124 N Washington St
East Prairie, MO 63845-1140 - Phone
- (573) 649-3923
- Fax
- (573) 649-3761
- NPI assigned
- Feb 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 029959 | MO | Primary |
Addresses
Primary practice location
124 N Washington St
East Prairie, MO 63845-1140
Mailing address
124 N Washington St
East Prairie, MO 63845-1140
Phone (573) 649-3923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029959 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1124391180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 N WASHINGTON ST",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638451140",
"telephone_number": "573-649-3923",
"fax_number": "573-649-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N WASHINGTON ST",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638451140",
"telephone_number": "573-649-3923",
"fax_number": "573-649-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "PATRICIA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "029959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Prairie, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.