Austin Andrew Hansen, PHARMD
Individual provider Active NPI Pharmacist · Commerce, GA
NPI 1467056929 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1467056929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH032143 (GA)
- Practice address
- 30983 US-441
Commerce, GA 30529 - Phone
- (706) 335-7818
- NPI assigned
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH032143 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH032143 | GA | Yes |
Addresses
Primary practice location
30983 US-441
Commerce, GA 30529
Mailing address
3087 Cove View CT
Dacula, GA 30019-4717
Phone (770) 639-1890
Other providers in Commerce, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.