Active NPI
Reema Mansour Al-Hijazin, PHARM.D, RPH
- Pharmacist
- Hicksville, NY
National Provider Identifier
1114596749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I067584
- Practice address
- 399 Jerusalem Ave
Hicksville, NY 11801-5501 - Phone
- (516) 935-0126
- NPI assigned
- Jun 18, 2021
- Last updated
- Jun 18, 2021
- Sex
- Female
- 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 | I067584 | NY | Primary |
Addresses
Primary practice location
399 Jerusalem Ave
Hicksville, NY 11801-5501
Mailing address
44 Cedar St
Central Islip, NY 11722-4139
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I067584 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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, 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": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1114596749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CEDAR ST",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117224139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 JERUSALEM AVE",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015501",
"telephone_number": "516-935-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-HIJAZIN",
"first_name": "REEMA",
"middle_name": "MANSOUR",
"name_prefix": "Dr.",
"credential": "PHARM.D, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I067584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.