Active NPI
Taylor Nicole Hauser, PHARMD
- Pharmacist
- Antigo, WI
National Provider Identifier
1992461248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21182
- Practice address
- 200 E Wi-64
Antigo, WI 54409 - Phone
- (715) 627-1636
- NPI assigned
- Nov 11, 2021
- 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 | 21182 | WI | Primary |
Addresses
Primary practice location
200 E Wi-64
Antigo, WI 54409
Mailing address
8851 Black Bear Ave
Argonne, WI 54511-9194
Phone (715) 902-1315
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 |
|---|---|---|---|
| 21182 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1992461248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 BLACK BEAR AVE",
"city": "ARGONNE",
"state": "WI",
"postal_code": "545119194",
"telephone_number": "715-902-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E WI-64",
"city": "ANTIGO",
"state": "WI",
"postal_code": "54409",
"telephone_number": "715-627-1636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "TAYLOR",
"middle_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "21182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antigo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.