Individual provider Active NPI

Joan H Hosang, R.PH.

  • Pharmacist
  • Rockford, IL
National Provider Identifier
1477838563
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051036594 Issued in IL
Practice address
4402 N Main St
Rockford, IL 61103-1278
Phone
(815) 987-7046
Fax
(815) 987-7710
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051036594 IL Primary
Pharmacist 183500000X 03215710 OH

Addresses

Primary practice location

4402 N Main St
Rockford, IL 61103-1278

Mailing address

4402 N Main St
Rockford, IL 61103-1278
Phone (815) 987-7046

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051036594ILMDPharmacist
03215710OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1477838563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611031278",
            "telephone_number": "815-987-7046",
            "fax_number": "815-987-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611031278",
            "telephone_number": "815-987-7046",
            "fax_number": "815-987-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSANG",
        "first_name": "JOAN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051036594",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03215710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.