Active NPI
Hanna Pharmacy Inc
- Pharmacy
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY14564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul W Hanna
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA145640 | Medicaid | CA |
Other names 1
- Wards Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Long Beach, CA
- NPI 1639931017
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.
-
- Pharmacist
- Long Beach, CA
- NPI 1801593413
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.