Active NPI
Mohammad S Hassan, RPHI
- Pharmacist
- Astoria, NY
National Provider Identifier
1003185364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056709
- Practice address
- 4010 25TH Ave
Astoria, NY 11103 - Phone
- (718) 685-2880
- NPI assigned
- Dec 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03406600 | NJ | |
| Pharmacist | 183500000X | 056709 | NY | Primary |
Addresses
Primary practice location
4010 25TH Ave
Astoria, NY 11103
Mailing address
4010 25TH Ave
Astoria, NY 11103-3602
Phone (718) 685-2880
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 |
|---|---|---|---|
| 28RI03406600 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nile City Pharmacy Inc | Current | Accepting new patients |
Locations
4010 25th Ave
Long Island City, NY 11103
Phone (718) 685-2880
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1003185364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 25TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033602",
"telephone_number": "718-685-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 25TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11103",
"telephone_number": "718-685-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MOHAMMAD",
"middle_name": "S",
"credential": "RPHI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-15",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03406600",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.