Provider Demographics
NPI:1457999062
Name:HOHMANN, SCOTT JEFFREY (PHARMD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:JEFFREY
Last Name:HOHMANN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6358 GLEN AIRE AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5303
Mailing Address - Country:US
Mailing Address - Phone:951-906-6952
Mailing Address - Fax:
Practice Address - Street 1:40101 MONTEREY AVE
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3261
Practice Address - Country:US
Practice Address - Phone:760-674-4738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA81585OtherCALIFORNIA BOARD OF PHARMACY
1137628OtherNATIONAL ASSOCIATION OF BOARDS OF PHARMACY (NABP)