Active NPI
Tanya Vivian Hooglugt
- Pharmacy Technician
- Augusta, KS
National Provider Identifier
1639669054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 14-00713
- Practice address
- 1510 Ohio St
Augusta, KS 67010-2157 - Phone
- (316) 775-5456
- Fax
- (316) 775-4108
- NPI assigned
- May 10, 2018
- Last updated
- May 10, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 14-00713 | KS | Primary |
Addresses
Primary practice location
1510 Ohio St
Augusta, KS 67010-2157
Mailing address
1510 Ohio St
Augusta, KS 67010-2157
Phone (316) 775-5456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-00713 | KS | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba King Soopers Pharmacy #153
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1639669054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 OHIO ST",
"city": "AUGUSTA",
"state": "KS",
"postal_code": "670102157",
"telephone_number": "316-775-5456",
"fax_number": "316-775-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 OHIO ST",
"city": "AUGUSTA",
"state": "KS",
"postal_code": "670102157",
"telephone_number": "316-775-5456",
"fax_number": "316-775-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOGLUGT",
"first_name": "TANYA",
"middle_name": "VIVIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "KS",
"license": "14-00713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.