Active NPI
Christopher Lee Haseker, PHARM.D.
- Pharmacist
- Plymouth, IN
National Provider Identifier
1184246266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26028631A
- Practice address
- 1900 N Michigan St
Plymouth, IN 46563-1046 - Phone
- (574) 935-5697
- NPI assigned
- May 12, 2020
- Last updated
- May 18, 2020
- Sex
- Male
- 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 | 26028631A | IN | Primary |
Addresses
Primary practice location
1900 N Michigan St
Plymouth, IN 46563-1046
Mailing address
711 Peachtree TRL
Collinsville, IL 62234-5231
Phone (314) 973-2437
Other practice location 1
711 Peachtree Trl
Collinsville, IL 62234-5231
Phone (314) 973-2437
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26028631A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1184246266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 PEACHTREE TRL",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622345231",
"telephone_number": "314-973-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N MICHIGAN ST",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465631046",
"telephone_number": "574-935-5697"
}
],
"practiceLocations": [
{
"address_1": "711 Peachtree Trl",
"address_purpose": "LOCATION",
"city": "Collinsville",
"state": "IL",
"postal_code": "622345231",
"country_code": "US",
"telephone_number": "314-973-2437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASEKER",
"first_name": "CHRISTOPHER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26028631A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.