Active NPI
David Henry Hatesohl, RPH
- Pharmacist
- Fort Riley, KS
National Provider Identifier
1912516089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-11218
- Practice address
- 650 Huebner Rd
Ft Riley, KS 66442-4030 - Phone
- (785) 239-7619
- Fax
- (785) 239-7045
- NPI assigned
- Jul 24, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-11218 | KS | Primary |
Addresses
Primary practice location
650 Huebner Rd
Ft Riley, KS 66442-4030
Mailing address
650 Huebner Rd
Ft Riley, KS 66442-4030
Phone (785) 239-7619
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.h.hatesohl.civ@mail.mil | Health Information Exchange (HIE) | |
| Direct Messaging Address | david.h.hatesohl.civ@mail.mil |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-11218 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1912516089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HUEBNER RD",
"city": "FT RILEY",
"state": "KS",
"postal_code": "664424030",
"telephone_number": "785-239-7619",
"fax_number": "785-239-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HUEBNER RD",
"city": "FT RILEY",
"state": "KS",
"postal_code": "664424030",
"telephone_number": "785-239-7619",
"fax_number": "785-239-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATESOHL",
"first_name": "DAVID",
"middle_name": "HENRY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-11218",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.h.hatesohl.civ@mail.mil",
"affiliation": "N",
"endpointDescription": "david.h.hatesohl.civ@mail.mil",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "225 Highland Pointe Dr",
"city": "Manhattan",
"state": "KS",
"country_code": "US",
"postal_code": "665038779",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.h.hatesohl.civ@mail.mil",
"affiliation": "N",
"address_1": "225 Highland Pointe Dr",
"city": "Manhattan",
"state": "KS",
"country_code": "US",
"postal_code": "665038779",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.