Individual provider Active NPI

Hassan Redwan

  • Pharmacist
  • Baytown, TX
National Provider Identifier
1255068953
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
38937 Issued in TX
Practice address
1658 W Baker Rd Ste C
Baytown, TX 77521-2283
Phone
(281) 428-0009
Fax
(832) 695-0005
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 38937 TX Primary

Addresses

Primary practice location

1658 W Baker Rd Ste C
Baytown, TX 77521-2283

Mailing address

1658 W Baker Rd Ste C
Baytown, TX 77521-2283
Phone (281) 428-0009

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

LicenseStateTypeSpecialty
38937TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
GR Cure CurrentSince Oct 12, 2025 Accepting new patients

Locations

1658 W Baker Rd
Ste C
Baytown, TX 77521
Phone (281) 428-0009

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1255068953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 W BAKER RD STE C",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212283",
            "telephone_number": "281-428-0009",
            "fax_number": "832-695-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 W BAKER RD STE C",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212283",
            "telephone_number": "281-428-0009",
            "fax_number": "832-695-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWAN",
        "first_name": "HASSAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.