Active NPI
Hisham Abdelaziz
- Pharmacist
- Mandeville, LA
National Provider Identifier
1124700125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024880
- Practice address
- 2880 Highway 190
Mandeville, LA 70471-3254 - Phone
- (504) 920-1456
- NPI assigned
- Aug 1, 2023
- Last updated
- Aug 1, 2023
- 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 | 024880 | LA | Primary |
Addresses
Primary practice location
2880 Highway 190
Mandeville, LA 70471-3254
Mailing address
2880 Highway 190
Mandeville, LA 70471-3254
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024880 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1124700125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 HIGHWAY 190",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 HIGHWAY 190",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713254",
"telephone_number": "504-920-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELAZIZ",
"first_name": "HISHAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "024880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
- A Professional Dental Organization (Randall Foto DDS)
- A-1 Internal Medicine LLC
- A.C. Davis M.D. a Professional Corporation
- Julia Renee Aaron, PLPC
- Abc Secure Transportation
- Christine Pfister Abide
- Hossam Abou-Taleb, M.D.
- Acadiana Neurology (Anil Prasad)
- Access Health Louisiana (St Tammany Mandeville CHC)
- Aces Medical Supply Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.