Active NPI
John Samuel Kou, PHARMD
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1699469791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26030220A
- Practice address
- 10845 E 79TH St
Indianapolis, IN 46236-8919 - Phone
- (317) 826-8790
- NPI assigned
- Jun 5, 2023
- Sex
- Male
- 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 | 26030220A | IN | Primary |
Addresses
Primary practice location
10845 E 79TH St
Indianapolis, IN 46236-8919
Mailing address
2012 Gable Lane CT Apt 1035
Indianapolis, IN 46228-6341
Phone (978) 806-1755
Other practice location 1
7235 W 10th St
Indianapolis, IN 46214-3565
Phone (317) 487-9250
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 |
|---|---|---|---|
| 26030220A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1699469791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 GABLE LANE CT APT 1035",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462286341",
"telephone_number": "978-806-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10845 E 79TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462368919",
"telephone_number": "317-826-8790"
}
],
"practiceLocations": [
{
"address_1": "7235 W 10th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462143565",
"country_code": "US",
"telephone_number": "317-487-9250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOU",
"first_name": "JOHN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-05",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26030220A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.