Active NPI
Erika Hahn
- Pharmacotherapy Pharmacist
- Bonne Terre, MO
National Provider Identifier
1861843393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 20110305062
- Practice address
- 50 Berry Rd
Bonne Terre, MO 63628-1373 - Phone
- (573) 358-0099
- Fax
- (573) 358-0084
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 20110305062 | MO | Primary |
Addresses
Primary practice location
50 Berry Rd
Bonne Terre, MO 63628-1373
Mailing address
235 Gerard St
Ste Genevieve, MO 63670-1713
Phone (312) 547-9845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164598827 | Other | MO | PHARMACY |
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 |
|---|---|---|---|
| 20110305062 | MO | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roziers Country Mart | Current | Accepting new patients | |
| Roziers Country Mart | Current | Accepting new patients | |
| Country Mart Pharmacy | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ste Genevieve, MO
- NPI 1700020112
-
- Long Term Care Pharmacy
- Ste Genevieve, MO
- NPI 1922853068
-
- Pharmacist
- Ste Genevieve, MO
- NPI 1972980829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1861843393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 GERARD ST",
"city": "STE GENEVIEVE",
"state": "MO",
"postal_code": "636701713",
"telephone_number": "312-547-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BERRY RD",
"city": "BONNE TERRE",
"state": "MO",
"postal_code": "636281373",
"telephone_number": "573-358-0099",
"fax_number": "573-358-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "ERIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "20110305062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "1164598827",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonne Terre, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.