Hamid R Abdanan, PHARMD
Individual provider Active NPI Pharmacist · Inlet Beach, FL
NPI 1003210550 · NPPES record last updated Oct 23, 2014
Key facts
- NPI
- 1003210550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS51452 (FL)
- Practice address
- 129 Grayling Way
Inlet Beach, FL 32413-9625 - Phone
- (469) 774-8624
- NPI assigned
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS51452 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS51452 | FL | Yes |
Addresses
Primary practice location
129 Grayling Way
Inlet Beach, FL 32413-9625
Mailing address
129 Grayling Way
Inlet Beach, FL 32413-9625
Phone (469) 774-8624
Other providers in Inlet Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.