Active NPI
Quintin Hauser
- Pharmacist
- Southgate, KY
National Provider Identifier
1730812579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020067
- Practice address
- 525 Alexandria Pike Ste 100
Southgate, KY 41071-3243 - Phone
- (888) 795-5826
- NPI assigned
- Jul 8, 2022
- Last updated
- Jul 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 020067 | KY | Primary |
Addresses
Primary practice location
525 Alexandria Pike Ste 100
Southgate, KY 41071-3243
Mailing address
1804 Ashley CT Apt 302
Florence, KY 41042-8775
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 |
|---|---|---|---|
| 020067 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1730812579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 ASHLEY CT APT 302",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410428775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ALEXANDRIA PIKE STE 100",
"city": "SOUTHGATE",
"state": "KY",
"postal_code": "410713243",
"telephone_number": "888-795-5826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "QUINTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "020067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southgate, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.