Active NPI
Mina T Hasaballah, RPH
- Pharmacist
- Newark, DE
National Provider Identifier
1114880002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0016143
- Practice address
- 19 Marrows Rd
Newark, DE 19713-3701 - Phone
- (302) 369-2510
- NPI assigned
- Dec 8, 2025
- 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 | A1-0016143 | DE | Primary |
Addresses
Primary practice location
19 Marrows Rd
Newark, DE 19713-3701
Mailing address
204 Arrowwood Dr
Newark, DE 19713-2892
Phone (302) 357-4714
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 |
|---|---|---|---|
| A1-0016143 | DE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1114880002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 ARROWWOOD DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132892",
"telephone_number": "302-357-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MARROWS RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197133701",
"telephone_number": "302-369-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASABALLAH",
"first_name": "MINA",
"middle_name": "T",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0016143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.