Active NPI
Sean Michael Hukenbeck
- Pharmacy Technician
- Saint Louis, MO
National Provider Identifier
1841970589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 2015025174
- Practice address
- 9801 Manchester Rd
Saint Louis, MO 63119-1227 - Phone
- (314) 963-3256
- NPI assigned
- Jul 18, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 2015025174 | MO | Primary |
Addresses
Primary practice location
9801 Manchester Rd
Saint Louis, MO 63119-1227
Mailing address
9279 Confederacy Dr Apt G
Saint Louis, MO 63126-3327
Phone (314) 471-7304
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 |
|---|---|---|---|
| 2015025174 | MO | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
9801 Manchester Rd
Saint Louis, MO 63119
Phone (314) 963-3256
Organizations & group practices 2
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": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1841970589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9279 CONFEDERACY DR APT G",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631263327",
"telephone_number": "314-471-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191227",
"telephone_number": "314-963-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUKENBECK",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MO",
"license": "2015025174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.