Jawad H Hamdan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-290360 Issued in IL

Practice address

3200 W 26TH St
Chicago, IL 60623-4031

Phone

(773) 890-1800

Fax

(773) 890-1802

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 11

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Community Pharmacy of Chicago Ridge Inc

  • Pharmacy
  • Chicago Ridge, IL
  • NPI 1649501206

  Critical Care

  NPD Authorized official
• Mexicare Inc

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1205061124

  Critical Care

  NPD Authorized official
• Express Medical Labs LLC

  • Clinical Medical Laboratory
  • Chicago Ridge, IL
  • NPI 1710587852
  NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1043813694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 ROSEMARY LN",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604642000",
            "telephone_number": "708-336-9002",
            "fax_number": "708-229-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234031",
            "telephone_number": "773-890-1800",
            "fax_number": "773-890-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9830 Ridgeland Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Chicago Ridge",
            "state": "IL",
            "postal_code": "604152667",
            "country_code": "US",
            "telephone_number": "708-907-5400",
            "fax_number": "708-907-5191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9830 Ridgeland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago Ridge",
            "state": "IL",
            "postal_code": "604152667",
            "country_code": "US",
            "telephone_number": "708-229-2100",
            "fax_number": "708-229-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "JAWAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "IL",
            "license": "051290360",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-290360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILDPR",
            "identifier": "051-290360",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 W 26th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606234031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Horace Rhodes Hambrick, MD, MS
• Briana Hambright Hall
• Sam R Hamburg, PH.D.
• Ayelet Hamburger, AU.D.
• Julie Brittany Hamby, DPT
• Leena Abed Hamdan, PA-C
• Hamdard Health Alliance
• Ahmad Hamed, DO
• Ahmed Hamed, MD
• Ferrer Hameed

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.