Hasna Behnam Iwas

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302410939 Issued in MI

Practice address

15200 E Jefferson Ave Ste 102
Grosse Pointe Park, MI 48230-2055

Phone

(586) 295-7221

Fax

(313) 822-8780

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Beacon Pointe Pharmacy Inc.

  • Community/Retail Pharmacy
  • Grosse Pointe Park, MI
  • NPI 1356495709
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1144787003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 E JEFFERSON AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301304",
            "telephone_number": "586-295-7221",
            "fax_number": "313-822-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 E JEFFERSON AVE STE 102",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302055",
            "telephone_number": "586-295-7221",
            "fax_number": "313-822-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWAS",
        "first_name": "HASNA",
        "middle_name": "BEHNAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302410939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hull Behavioral Health LLC
• Harry B Hull, MA LLP
• Abbigail Hutchison, DO
• Jerry George Idicula, M.ED., BCBA
• Nancy Louise Iles, LMSW
• Erica Johnson
• Rochelle Johnson
• Mary Kaiser
• Linda M Karadsheh, DO
• Kathleen S Gunther PC

• Pharmacist in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.