Individual provider Active NPI

Michael Wayne Hosier, R.PH.

  • Pharmacist
  • Fort Wayne, IN
National Provider Identifier
1811219090
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26017955A Issued in IN
Practice address
4225 Hobson Rd
Fort Wayne, IN 46815-4506
Phone
(260) 422-7510
Fax
(260) 422-7516
NPI assigned
Feb 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26017955A IN Primary

Addresses

Primary practice location

4225 Hobson Rd
Fort Wayne, IN 46815-4506

Mailing address

4225 Hobson Rd
Fort Wayne, IN 46815-4506
Phone (260) 422-7510

Other practice location 1

820 N Coliseum Blvd
Fort Wayne, IN 46805-5516
Phone (260) 426-0369

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26017955AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hook-Superx LLC PastSince Dec 6, 2020 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1811219090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 HOBSON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154506",
            "telephone_number": "260-422-7510",
            "fax_number": "260-422-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 HOBSON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154506",
            "telephone_number": "260-422-7510",
            "fax_number": "260-422-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 N Coliseum Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468055516",
            "country_code": "US",
            "telephone_number": "260-426-0369",
            "fax_number": "260-420-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSIER",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26017955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.