Active NPI
Mina F Hanna, RPH
- Pharmacist
- Mendon, MA
National Provider Identifier
1225637440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH234955
- Practice address
- 60 Blackstone St
Mendon, MA 01756-1305 - Phone
- (401) 368-8822
- Fax
- (401) 368-8822
- NPI assigned
- Oct 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH05678 | RI | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH05678 | RI | |
| Pharmacist | 183500000X | PH234955 | MA | Primary |
Addresses
Primary practice location
60 Blackstone St
Mendon, MA 01756-1305
Mailing address
60 Blackstone St
Mendon, MA 01756-1305
Phone (401) 368-8822
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH234955 | MA | MD | Pharmacist |
| RPH05678 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1225637440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BLACKSTONE ST",
"city": "MENDON",
"state": "MA",
"postal_code": "017561305",
"telephone_number": "401-368-8822",
"fax_number": "401-368-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BLACKSTONE ST",
"city": "MENDON",
"state": "MA",
"postal_code": "017561305",
"telephone_number": "401-368-8822",
"fax_number": "401-368-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "MINA",
"middle_name": "F",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH05678",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "RI",
"license": "RPH05678",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH234955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.