Active NPI
Ghassan Fouad Hamdan, RPH
- Oncology Pharmacist
- Shreveport, LA
National Provider Identifier
1114270261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 12084
- Practice address
- 1 Saint Mary PL
Shreveport, LA 71101-4343 - Phone
- (318) 681-4150
- Fax
- (318) 681-4272
- NPI assigned
- Oct 25, 2012
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 12084 | LA | Primary |
Addresses
Primary practice location
1 Saint Mary PL
Shreveport, LA 71101-4343
Mailing address
1 Saint Mary PL
Shreveport, LA 71101-4343
Phone (318) 681-4150
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 |
|---|---|---|---|
| 12084 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1114270261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAINT MARY PL",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014343",
"telephone_number": "318-681-4150",
"fax_number": "318-681-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT MARY PL",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014343",
"telephone_number": "318-681-4150",
"fax_number": "318-681-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMDAN",
"first_name": "GHASSAN",
"middle_name": "FOUAD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "LA",
"license": "12084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.