Active NPI
Austin Thomas Mondloch, PHARMD
- Pharmacotherapy Pharmacist
- Fort Wayne, IN
National Provider Identifier
1477483329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26030450A
- Practice address
- 10627 Diebold Rd
Fort Wayne, IN 46845-8606 - Phone
- (920) 918-1110
- NPI assigned
- May 21, 2026
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26030450A | IN | Primary |
Addresses
Primary practice location
10627 Diebold Rd
Fort Wayne, IN 46845-8606
Mailing address
10627 Diebold Rd
Fort Wayne, IN 46845-8606
Phone (920) 918-1110
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 |
|---|---|---|---|
| 26030450A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1477483329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10627 DIEBOLD RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468458606",
"telephone_number": "920-918-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10627 DIEBOLD RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468458606",
"telephone_number": "920-918-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDLOCH",
"first_name": "AUSTIN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26030450A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.