Hosannah Marie Dalogdog, PHARMD

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

051303186 Issued in IL

Practice address

2225 W Market St
Bloomington, IL 61705-5014

Phone

(309) 828-8626

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hannah Dalogdog Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1497356596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N LINDEN ST APT J305",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617615346",
            "telephone_number": "312-593-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W MARKET ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617055014",
            "telephone_number": "309-828-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALOGDOG",
        "first_name": "HOSANNAH MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "051303186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "DALOGDOG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Athena Dacanay, PSYD
• Patrick Dagg
• Cynthia Daggy, PHARMD
• Ashley R. Dagner, MS, LCPC
• Victoria Lynch Dahmm, MS, LCPC
• Rachel Marie Hatfield Dalton, D.O.
• Daniel a Nord MD, Obstetrics and Gynecology
• Dawn Dannenbring-Carlson
• Danville Vamc
• Bhargavi Dasari

• Athletic Trainer in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.