Hanan Elzeibak, PTCB

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

22833 Bothell Everett Hwy
Bothell, WA 98021-9385

Phone

(425) 244-6160

NPI assigned

Jun 4, 2021

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

Other names 1

• Hanan Mohamed Elzeibak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1184291528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13105 21ST DR SE APT J103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087182",
            "telephone_number": "425-244-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22833 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219385",
            "telephone_number": "425-244-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZEIBAK",
        "first_name": "HANAN",
        "name_prefix": "Mrs.",
        "credential": "PTCB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANAN",
            "last_name": "ELZEIBAK",
            "middle_name": "MOHAMED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacy Technician in Bothell, WA
• Providers in Bothell, WA by specialty
• Pharmacy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.