Active NPI
Iriny Fouad Botros Hanna
- Pharmacist
- Irvine, CA
National Provider Identifier
1275300279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88627
- Practice address
- 210 Knollglen
Irvine, CA 92614-7491 - Phone
- (949) 525-1331
- NPI assigned
- Dec 8, 2023
- Sex
- Female
- 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 | 88627 | CA | Primary |
Addresses
Primary practice location
210 Knollglen
Irvine, CA 92614-7491
Mailing address
210 Knollglen
Irvine, CA 92614-7491
Phone (949) 525-1331
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 |
|---|---|---|---|
| 88627 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1275300279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 KNOLLGLEN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926147491",
"telephone_number": "949-525-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 KNOLLGLEN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926147491",
"telephone_number": "949-525-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "IRINY",
"middle_name": "FOUAD BOTROS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.