Active NPI
Jason Hamilton
- Pharmacy Technician
- Portage, MI
National Provider Identifier
1679356844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303035882
- Practice address
- 7901 Angling Rd
Portage, MI 49024-0714 - Phone
- (269) 324-8409
- Fax
- (269) 324-8458
- NPI assigned
- Aug 14, 2023
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303035882 | MI | Primary |
Addresses
Primary practice location
7901 Angling Rd
Portage, MI 49024-0714
Mailing address
7779 S 12TH St
Portage, MI 49024-3873
Phone (269) 910-6059
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 |
|---|---|---|---|
| 5303035882 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1679356844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7779 S 12TH ST",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243873",
"telephone_number": "269-910-6059",
"fax_number": "269-324-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 ANGLING RD",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490240714",
"telephone_number": "269-324-8409",
"fax_number": "269-324-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303035882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.