Active NPI
Marcia Lynn Hockenberry, PHARMD
- Pharmacist
- Atlantic, IA
National Provider Identifier
1366291049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19264
- Practice address
- 1501 E 10TH St
Atlantic, IA 50022-1936 - Phone
- (712) 243-7508
- Fax
- (712) 435-7074
- NPI assigned
- May 15, 2024
- Last updated
- May 15, 2024
- Sex
- Female
- 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 | 19264 | IA | Primary |
Addresses
Primary practice location
1501 E 10TH St
Atlantic, IA 50022-1936
Mailing address
800 Timber LN
Anita, IA 50020-1055
Phone (712) 249-6795
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 |
|---|---|---|---|
| 19264 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1366291049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 TIMBER LN",
"city": "ANITA",
"state": "IA",
"postal_code": "500201055",
"telephone_number": "712-249-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 10TH ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500221936",
"telephone_number": "712-243-7508",
"fax_number": "712-435-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKENBERRY",
"first_name": "MARCIA",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.