Active NPI
Brian Hoffbauer, RPH
- Pharmacist
- Jackson, MI
National Provider Identifier
1538445879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302029246
- Practice address
- 1314 N West Ave
Jackson, MI 49202-2051 - Phone
- (517) 783-1803
- Fax
- (517) 783-2088
- NPI assigned
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 5302029246 | MI | Primary |
Addresses
Primary practice location
1314 N West Ave
Jackson, MI 49202-2051
Mailing address
1314 N West Ave
Jackson, MI 49202-2051
Phone (517) 783-1803
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302029246 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1538445879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 N WEST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022051",
"telephone_number": "517-783-1803",
"fax_number": "517-783-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 N WEST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492022051",
"telephone_number": "517-783-1803",
"fax_number": "517-783-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFBAUER",
"first_name": "BRIAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302029246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.