Active NPI
Hasan Saleh Mustafa, RPH
- Pharmacist
- Oak Creek, WI
National Provider Identifier
1073483293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2328040
- Practice address
- 9449 S Howell Ave
Oak Creek, WI 53154-4431 - Phone
- (414) 764-8980
- NPI assigned
- Nov 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2328040 | WI | Primary |
Addresses
Primary practice location
9449 S Howell Ave
Oak Creek, WI 53154-4431
Mailing address
840 W Layton Ave
Milwaukee, WI 53221-2427
Phone (646) 945-3033
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2328040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
9449 S Howell Ave
Oak Creek, WI 53154
Phone (414) 764-8980
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 and National Provider Directory roles.
-
- Pharmacy
- Oak Creek, WI
- NPI 1053326108
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1073483293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 W LAYTON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212427",
"telephone_number": "646-945-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9449 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531544431",
"telephone_number": "414-764-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFA",
"first_name": "HASAN",
"middle_name": "SALEH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "2328040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.