Healthcare Provider Details

I. General information

NPI: 1649502246
Provider Name (Legal Business Name): JOHN ANTHONY HOHMANN RPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2010
Last Update Date: 05/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3387 BROADWAY
NEW YORK NY
10031-7416
US

IV. Provider business mailing address

41 MOUNT PLEASANT RD
COLUMBIA NJ
07832-2634
US

V. Phone/Fax

Practice location:
  • Phone: 917-507-0179
  • Fax: 917-507-0380
Mailing address:
  • Phone: 908-496-4915
  • Fax: 908-496-4912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number053448
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02087700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP444043
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: