Provider Demographics
NPI:1588291728
Name:HAMMES, JOHN F
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:HAMMES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 HIGH FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-9140
Mailing Address - Country:US
Mailing Address - Phone:262-914-2245
Mailing Address - Fax:262-377-1940
Practice Address - Street 1:W63N152 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-2725
Practice Address - Country:US
Practice Address - Phone:262-377-5685
Practice Address - Fax:262-377-1940
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8238-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist