Active NPI
Jason Adel Hannosh, PHARM. D.
- Pharmacist
- Chandler, AZ
National Provider Identifier
1093137408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S017257
- Practice address
- 2225 S Price Rd
Chandler, AZ 85286-7201 - Phone
- (480) 752-5600
- NPI assigned
- Jan 20, 2014
- 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 | S017257 | AZ | Primary |
Addresses
Primary practice location
2225 S Price Rd
Chandler, AZ 85286-7201
Mailing address
2225 S Price Rd
Chandler, AZ 85286-7201
Phone (480) 752-5600
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 |
|---|---|---|---|
| S017257 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1093137408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 S PRICE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852867201",
"telephone_number": "480-752-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 S PRICE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852867201",
"telephone_number": "480-752-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNOSH",
"first_name": "JASON",
"middle_name": "ADEL",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-20",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.