Active NPI
Duaa Hassan
- Pharmacist
- Guadalupe, CA
National Provider Identifier
1265979322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7662
- Practice address
- 830 Guadalupe St
Guadalupe, CA 93434-1316 - Phone
- (805) 219-0770
- Fax
- (805) 219-0772
- NPI assigned
- Jan 27, 2017
- 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 | 62473 | CA | |
| Pharmacist | 183500000X | 7662 | ID | Primary |
Addresses
Primary practice location
830 Guadalupe St
Guadalupe, CA 93434-1316
Mailing address
830 Guadalupe St
Guadalupe, CA 93434-1316
Phone (805) 219-0770
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 |
|---|---|---|---|
| 62473 | CA | MD | General Practice Dentistry |
| 7662 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Pharmacy RX Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Guadalupe, CA
- NPI 1932570447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1265979322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 GUADALUPE ST",
"city": "GUADALUPE",
"state": "CA",
"postal_code": "934341316",
"telephone_number": "805-219-0770",
"fax_number": "805-219-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 GUADALUPE ST",
"city": "GUADALUPE",
"state": "CA",
"postal_code": "934341316",
"telephone_number": "805-219-0770",
"fax_number": "805-219-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "DUAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62473",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "7662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guadalupe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.