Active NPI
Hamid Ghiassi, PHARMACIST
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1184959926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4976
- Practice address
- 1217 1St St NW
Albuquerque, NM 87102-1529 - Phone
- (057) 665-1975
- Fax
- (505) 312-4046
- NPI assigned
- Oct 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4976 | NM | Primary |
Addresses
Primary practice location
1217 1St St NW
Albuquerque, NM 87102-1529
Mailing address
PO Box 25445
Albuquerque, NM 87125-0445
Phone (505) 766-5197
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4976 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1184959926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25445",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871250445",
"telephone_number": "505-766-5197",
"fax_number": "505-312-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 1ST ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021529",
"telephone_number": "057-665-1975",
"fax_number": "505-312-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHIASSI",
"first_name": "HAMID",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "4976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.