Active NPI
Sean Richard Hoos, PHARMD
- Pharmacist
- Fort Wayne, IN
National Provider Identifier
1679061709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26023251A
- Practice address
- 2200 Randallia Dr
Fort Wayne, IN 46805-4699 - Phone
- (260) 373-3400
- Fax
- (260) 373-3418
- NPI assigned
- Apr 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | IND-904481 | IN | |
| Pharmacist | 183500000X | 26023251A | IN | Primary |
Addresses
Primary practice location
2200 Randallia Dr
Fort Wayne, IN 46805-4699
Mailing address
2200 Randallia Dr
Fort Wayne, IN 46805-4699
Phone (260) 373-3400
Other practice location 1
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-4400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26023251A | IN | MD | Pharmacist |
| IND-904481 | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1679061709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 RANDALLIA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054699",
"telephone_number": "260-373-3400",
"fax_number": "260-373-3418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 RANDALLIA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468054699",
"telephone_number": "260-373-3400",
"fax_number": "260-373-3418"
}
],
"practiceLocations": [
{
"address_1": "11109 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451701",
"country_code": "US",
"telephone_number": "260-266-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOS",
"first_name": "SEAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "IND-904481",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26023251A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.