Active NPI
Jumana B Hanna, BS PHARAMCY
- Pharmacist
- Carson, CA
National Provider Identifier
1184052805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45842
- Practice address
- 500 Carson Town Center Kmart 4987 Pharmacy
Carson, CA 90745 - Phone
- (310) 533-1899
- Fax
- (310) 533-0207
- NPI assigned
- Oct 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45842 | CA | Primary |
| Pharmacist | 183500000X | 043158-1 | NY |
Addresses
Primary practice location
500 Carson Town Center Kmart 4987 Pharmacy
Carson, CA 90745
Mailing address
PO Box 9483
Fountain Valley, CA 92728-9483
Phone (714) 962-8388
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45842 | CA | MD | Pharmacist |
| 043158-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1184052805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9483",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927289483",
"telephone_number": "714-962-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CARSON TOWN CENTER KMART 4987 PHARMACY",
"city": "CARSON",
"state": "CA",
"postal_code": "90745",
"telephone_number": "310-533-1899",
"fax_number": "310-533-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "JUMANA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "BS PHARAMCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-15",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45842",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043158-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.