Hamzat Abisoye Feshitan, PHARMD

Individual provider Active NPI Pharmacist · Highland Village, TX

NPI 1144833781 · NPPES record last updated Aug 24, 2020

Key facts

NPI
1144833781
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
56939 (TX)
Practice address
2360 Justin Rd
Highland Village, TX 75077-3071
Phone
(972) 966-0526
Fax
(972) 966-2114
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
56939TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Aug 30, 2020
Accepting new patients
Walgreen Co Past
since Aug 30, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56939 TX Yes

Addresses

Primary practice location

2360 Justin Rd
Highland Village, TX 75077-3071

Mailing address

2360 Justin Rd
Highland Village, TX 75077-3071
Phone (972) 966-0526

Other providers in Highland Village, TX

All providers in Highland Village, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.