Active NPI
Emily Hagedorn
- Pharmacist
- Ferdinand, IN
National Provider Identifier
1699361204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26026576A
- Practice address
- 20 Industrial Park Rd
Ferdinand, IN 47532-9665 - Phone
- (812) 367-2030
- NPI assigned
- Dec 17, 2020
- Last updated
- Dec 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26026576A | IN | Primary |
Addresses
Primary practice location
20 Industrial Park Rd
Ferdinand, IN 47532-9665
Mailing address
7121 S Club Rd
Ferdinand, IN 47532
Phone (812) 661-7749
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 |
|---|---|---|---|
| 26026576A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1699361204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7121 S CLUB RD",
"city": "FERDINAND",
"state": "IN",
"postal_code": "47532",
"telephone_number": "812-661-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 INDUSTRIAL PARK RD",
"city": "FERDINAND",
"state": "IN",
"postal_code": "475329665",
"telephone_number": "812-367-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEDORN",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26026576A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferdinand, IN
- Deaconess Clinic Inc
- Deaconess Memorial Medical Center Inc (Memorial Hospital and Health Care Center Ferdinand Family Medicine)
- Nathan Randall Denning, DPT, SCS, CSCS
- September Dawn Foster, RN
- Good Samaritan Hospital (Scenic Hills at the Monastery)
- Stephanie Hentrup
- Hildegard Health Center,Inc.
- Hook-Superx LLC (CVS Pharmacy #06871)
- Integrated Performance LLC (Integrated Performance)
- Kelsey Marie Kelly, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.