Individual provider Active NPI

Fred Hyyoot

  • Pharmacist
  • Swampscott, MA
National Provider Identifier
1164184040
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH26990 Issued in MA
Practice address
1006 Paradise Rd Apt 3D
Swampscott, MA 01907-1393
Phone
(617) 306-8785
NPI assigned
Oct 8, 2021
Last updated
Oct 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH26990 MA Primary

Addresses

Primary practice location

1006 Paradise Rd Apt 3D
Swampscott, MA 01907-1393

Mailing address

1006 Paradise Rd Apt 3D
Swampscott, MA 01907-1393
Phone (617) 306-8785

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

State licenses

LicenseStateTypeSpecialty
PH26990MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1164184040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 PARADISE RD APT 3D",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071393",
            "telephone_number": "617-306-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 PARADISE RD APT 3D",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071393",
            "telephone_number": "617-306-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYYOOT",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH26990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.