Active NPI
Mahmoud Al Atia Al Hassad, PHARMD
- Pharmacist
- Austin, TX
National Provider Identifier
1073340014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74777
- Practice address
- 2525 W Anderson LN BLDG 2
Austin, TX 78757-1142 - Phone
- (512) 323-6127
- NPI assigned
- Sep 16, 2024
- Last updated
- Sep 16, 2024
- Sex
- Male
- 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 | 74777 | TX | Primary |
Addresses
Primary practice location
2525 W Anderson LN BLDG 2
Austin, TX 78757-1142
Mailing address
20105 Alison TRL
Mokena, IL 60448-1707
Phone (708) 328-0844
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 |
|---|---|---|---|
| 74777 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2525 W Anderson Ln
Bldg 2
Austin, TX 78757
Phone (512) 323-6127
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1073340014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20105 ALISON TRL",
"city": "MOKENA",
"state": "IL",
"postal_code": "604481707",
"telephone_number": "708-328-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W ANDERSON LN BLDG 2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571142",
"telephone_number": "512-323-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL ATIA AL HASSAD",
"first_name": "MAHMOUD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "74777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.