Organization Active NPI

Hanna Pharmacy Inc

  • Pharmacy
  • Long Beach, CA
National Provider Identifier
1154419091
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY14564 Issued in CA
Legal business name
HANNA PHARMACY INC
Doing business as
Wards Pharmacy
Practice address
653 Long Beach Blvd.
Long Beach, CA 90802-1323
Phone
(562) 437-0678
Fax
(562) 436-4601
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Paul W HannaNPI 1801593413
Title
President/Ceo/Cfo/Sec./Dir.
Phone
(201) 377-8319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY14564 CA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

653 Long Beach Blvd.
Long Beach, CA 90802-1323

Mailing address

653 Long Beach Blvd
Long Beach, CA 90802-1323
Phone (201) 377-8319

Other identifiers 1

IdentifierTypeStateIssuer
PHA145640MedicaidCA

Other names 1

  • Wards Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230106002705 CA Part B Supplier - Pharmacy 7012387046 Practice locations: Long Beach, CA
O20241031003640 CA DME Supplier - Pharmacy 7012387046 Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory
Tax ID family
Hanna Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

653 Long Beach Blvd
Long Beach, CA 90802
Phone (562) 437-0678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1154419091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021323",
            "telephone_number": "201-377-8319",
            "fax_number": "562-436-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 LONG BEACH BLVD.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021323",
            "telephone_number": "562-437-0678",
            "fax_number": "562-436-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO/SEC./DIR.",
        "authorized_official_telephone_number": "201-377-8319"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY14564",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA145640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wards Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wards Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.