Hoosier Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

60000203A Issued in IN

Legal business name

HOOSIER PHARMACY

Practice address

3833 Hohman Ave.
Hammond, IN 46327-1160

Phone

(219) 931-7070

Fax

(219) 931-1235

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward G Vischak, RPH

Title

Owner/Pharmacist

Phone

(219) 931-7070

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1295877694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 HOHMAN AVE.",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463271160",
            "telephone_number": "219-931-7070",
            "fax_number": "219-931-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 HOHMAN AVE.",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463271160",
            "telephone_number": "219-931-7070",
            "fax_number": "219-931-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "VISCHAK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "219-931-7070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60000203A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "1511282",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100298550",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Hammond, IN
• Providers in Hammond, IN by specialty
• Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.