Active NPI
Brandon Wu, PHARMD, R.PH
- Pharmacist
- Kentland, IN
National Provider Identifier
1295382885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26027216A
- Practice address
- 512 E Seymour St
Kentland, IN 47951-1240 - Phone
- (219) 474-6787
- NPI assigned
- Aug 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 26027216A | IN | Primary |
Addresses
Primary practice location
512 E Seymour St
Kentland, IN 47951-1240
Mailing address
512 E Seymour St
Kentland, IN 47951-1240
Phone (219) 474-6787
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26027216A | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1295382885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E SEYMOUR ST",
"city": "KENTLAND",
"state": "IN",
"postal_code": "479511240",
"telephone_number": "219-474-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E SEYMOUR ST",
"city": "KENTLAND",
"state": "IN",
"postal_code": "479511240",
"telephone_number": "219-474-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "BRANDON",
"credential": "PHARMD, R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26027216A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kentland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.