Individual provider Active NPI

Nathan Jonas Damasius, PHARMD

  • Pharmacist
  • Hammond, IN
National Provider Identifier
1568041754
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26020849A Issued in IN
Practice address
6949 Kennedy Ave Ste C
Hammond, IN 46323-2245
Phone
(219) 845-2900
Fax
(219) 844-1983
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26020849A IN Primary

Addresses

Primary practice location

6949 Kennedy Ave Ste C
Hammond, IN 46323-2245

Mailing address

9250 Drake Dr
Saint John, IN 46373-9067
Phone (219) 614-9470

Other practice location 1

8845 Kennedy Ave
Highland, IN 46322-1908
Phone (219) 972-1700

Other practice location 2

4923 Hohman Ave
Hammond, IN 46320-1275
Phone (219) 937-1600

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

LicenseStateTypeSpecialty
26020849AINMDPharmacist

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1568041754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 DRAKE DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739067",
            "telephone_number": "219-614-9470",
            "fax_number": "219-844-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 KENNEDY AVE STE C",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232245",
            "telephone_number": "219-845-2900",
            "fax_number": "219-844-1983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8845 Kennedy Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221908",
            "country_code": "US",
            "telephone_number": "219-972-1700",
            "fax_number": "219-972-1915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4923 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201275",
            "country_code": "US",
            "telephone_number": "219-937-1600",
            "fax_number": "219-937-7268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMASIUS",
        "first_name": "NATHAN",
        "middle_name": "JONAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020849A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.