Active NPI
Michael Hauck, PHARMD
- Pharmacist
- Allentown, PA
National Provider Identifier
1740874684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP438647
- Practice address
- 133 S 17TH St
Allentown, PA 18104-6776 - Phone
- (610) 433-1826
- Fax
- (610) 433-0386
- NPI assigned
- Feb 22, 2021
- Sex
- Male
- 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 | RP438647 | PA | Primary |
Addresses
Primary practice location
133 S 17TH St
Allentown, PA 18104-6776
Mailing address
133 S 17TH St
Allentown, PA 18104-6776
Phone (610) 433-1826
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP438647 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrapin West End Pharmacy, LLC | Current | Accepting new patients | |
| Terrapin West End Pharmacy, LLC | Past | Accepting new patients |
Locations
133 S 17th St
Allentown, PA 18104
Phone (610) 433-1826
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Allentown, PA
- NPI 1730783648
-
- Long Term Care Pharmacy
- Trevose, PA
- NPI 1902815913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1740874684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 S 17TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046776",
"telephone_number": "610-433-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 S 17TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046776",
"telephone_number": "610-433-1826",
"fax_number": "610-433-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP438647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.