Darren Lloyd Hartman, RPH
Individual provider Active NPI Pharmacist · Demotte, IN
NPI 1699320473 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1699320473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26018738A (IN)
- Practice address
- 5765 E State Road 10
Demotte, IN 46310-8888 - Phone
- (219) 345-4742
- Fax
- (219) 345-4753
- NPI assigned
- Aug 7, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26018738A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26018738A | IN | Yes |
Addresses
Primary practice location
5765 E State Road 10
Demotte, IN 46310-8888
Mailing address
5233 E Chamberlain CT
Demotte, IN 46310-8948
Phone (219) 688-2056
Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.