Stacey Houske

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH026293 Issued in GA

Practice address

5220 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2739

Phone

(770) 222-1421

NPI assigned

May 15, 2014

Last updated

May 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Bronson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1821409509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 WYNFORD AVE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 JIMMY LEE SMITH PKWY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412739",
            "telephone_number": "770-222-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSKE",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BRONSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diem Hope, PHARM. D
• Kevin Hord
• Joy Horton
• Florence M Hosseini Aslinia, MD
• House of Lord
• Charles Houston
• Noah Howard, D.C.
• John A Huey, NMTCB
• Barbara Jean Huff, FNP-C
• George M Hunt, PA-C

• Pharmacist in Hiram, GA
• Providers in Hiram, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.