Active NPI
Jacob D Hoger, PHARMD, MSPGX, RPH
- Pharmacist
- Kendallville, IN
National Provider Identifier
1760100358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26029910A
- Practice address
- 224 W North St
Kendallville, IN 46755-1134 - Phone
- (260) 347-1499
- NPI assigned
- Aug 18, 2022
- 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 | 26029910A | IN | Primary |
Addresses
Primary practice location
224 W North St
Kendallville, IN 46755-1134
Mailing address
8422 Burnt Ember PL
Fort Wayne, IN 46804-6706
Phone (260) 543-0200
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26029910A | 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 and National Provider Directory roles.
-
- Pharmacy
- Kendallville, IN
- NPI 1922101625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1760100358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8422 BURNT EMBER PL",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046706",
"telephone_number": "260-543-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W NORTH ST",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467551134",
"telephone_number": "260-347-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGER",
"first_name": "JACOB",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARMD, MSPGX, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26029910A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kendallville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.