Active NPI
Hazel Lacson
- Pharmacist
- Peachtree Corners, GA
National Provider Identifier
1427568948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030260
- Practice address
- 3200 Holcomb Bridge Rd
Peachtree Corners, GA 30092-3361 - Phone
- (770) 417-5106
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- 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 | RPH030260 | GA | Primary |
Addresses
Primary practice location
3200 Holcomb Bridge Rd
Peachtree Corners, GA 30092-3361
Mailing address
2124 Cheshire Bridge Rd NE Apt 6104
Atlanta, GA 30324-5725
Phone (352) 497-0608
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 |
|---|---|---|---|
| RPH030260 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1427568948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 CHESHIRE BRIDGE RD NE APT 6104",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245725",
"telephone_number": "352-497-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 HOLCOMB BRIDGE RD",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300923361",
"telephone_number": "770-417-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACSON",
"first_name": "HAZEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.