Darin Sisil
Individual provider Active NPI Pharmacist · Sullivan, IN
NPI 1740876705 · NPPES record last updated Dec 14, 2020
Key facts
- NPI
- 1740876705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26018341A (IN)
- Practice address
- 275 S Section St
Sullivan, IN 47882-1808 - Phone
- (812) 268-6827
- Fax
- (812) 268-3015
- NPI assigned
- Dec 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26018341A | 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 | 26018341A | IN | Yes |
Addresses
Primary practice location
275 S Section St
Sullivan, IN 47882-1808
Mailing address
275 S Section St
Sullivan, IN 47882-1808
Phone (812) 268-6827
Other providers in Sullivan, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2020. 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.