Individual provider Active NPI

Michael Gerard Hausel, RPH

  • Pharmacist
  • Kirkwood, MO
National Provider Identifier
1407229164
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040993 Issued in MO
Practice address
329 W Argonne Dr
Kirkwood, MO 63122-4101
Phone
(314) 640-3774
NPI assigned
Nov 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040993 MO Primary

Addresses

Primary practice location

329 W Argonne Dr
Kirkwood, MO 63122-4101

Mailing address

329 W Argonne Dr
Kirkwood, MO 63122-4101
Phone (314) 640-3774

Other identifiers 1

IdentifierTypeStateIssuer
040993OtherMOPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
040993MOMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1407229164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W ARGONNE DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224101",
            "telephone_number": "314-640-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W ARGONNE DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224101",
            "telephone_number": "314-640-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSEL",
        "first_name": "MICHAEL",
        "middle_name": "GERARD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "040993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "040993",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.