Active NPI
Kent Hooper
- Pharmacist
- Ardmore, OK
National Provider Identifier
1992391106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18768
- Practice address
- 205 N Commerce St
Ardmore, OK 73401-3906 - Phone
- (580) 223-0143
- Fax
- (580) 223-7620
- NPI assigned
- Dec 12, 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 | 18768 | OK | Primary |
Addresses
Primary practice location
205 N Commerce St
Ardmore, OK 73401-3906
Mailing address
205 N Commerce St
Ardmore, OK 73401-3906
Phone (580) 223-0143
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 |
|---|---|---|---|
| 18768 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hac, Inc. | Current | Accepting new patients | |
| Hac, Inc | Past | Accepting new patients |
Locations
205 N Commerce St
Ardmore, OK 73401
Phone (580) 223-0143
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.
-
- Community/Retail Pharmacy
- Ardmore, OK
- NPI 1801911995
-
- Community/Retail Pharmacy
- Edmond, OK
- NPI 1598564635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607731200000",
"number": "1992391106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734013906",
"telephone_number": "580-223-0143",
"fax_number": "580-223-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734013906",
"telephone_number": "580-223-0143",
"fax_number": "580-223-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "KENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-12",
"last_updated": "2020-12-12",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.