Austin Hartzog, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26028740A Issued in IN

Practice address

5110 Value Drive
Fort Wayne, IN 46808

Phone

(260) 481-1110

NPI assigned

Aug 21, 2020

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

Other names 1

• Dr. Austin James Hartzog Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1295347102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SPRINGFIELD AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 VALUE DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46808",
            "telephone_number": "260-481-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZOG",
        "first_name": "AUSTIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028740A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSTIN",
            "last_name": "HARTZOG",
            "middle_name": "JAMES",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan Ann Hartsell, MSN, APRN, FNP-C
• Jenni H Hartsuff, CRNA, MSA
• Kathy Hartwig
• Hartwiger Enterprises, Inc.
• Jeffrey L Hartzell, M.D.
• Harvest Counseling Group Inc
• Blake Harvey
• Brenda Kay Harvey
• Deborah K. Harvey, RN-CDE
• Lawrence Harvey, MD

• Pharmacist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.