Hass & Nour LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY35940 Issued in CA

Legal business name

HASS & NOUR LLC

Practice address

11260 Pleasant Valley Rd
Penn Valley, CA 95946-9413

Phone

(530) 432-3921

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Hassan SartawiNPI 1912210014

Title

Owner

Phone

(650) 477-6352

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PLEASANT VALLEY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hassan Sartawi

  • Pharmacist
  • Sacramento, CA
  • NPI 1912210014
  NPD Authorized official
• De Ann Lee Sumner, PHARM. D.

  • Pharmacist
  • Penn Valley, CA
  • NPI 1770806507
  NPD (past)
• Douglas Maurice Wells, RPH

  • Pharmacist
  • Penn Valley, CA
  • NPI 1932421963
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1003816083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 PLEASANT VALLEY RD",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469413",
            "telephone_number": "530-432-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 PLEASANT VALLEY RD",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469413",
            "telephone_number": "530-432-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASS & NOUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "SARTAWI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-477-6352"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY35940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA359400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2000531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLEASANT VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry Lyn Geoghegancampbell
• Ian Macarthur Gow, P.A-N
• Karen Alexandra Greenhaw, FNP
• Elise Gregoire, AUD
• Rachael A Harvey, LMFT
• Hass & Nour LLC
• Patricia Hastert, DC
• Elizabeth Ann Hatfield-Howe
• Kimberly Hoover, LAC
• Alysa Harless Johnson, LCSW

• Community/Retail Pharmacy in Penn Valley, CA
• Providers in Penn Valley, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.