Michael Hanna

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-105713 Issued in KS

Practice address

5455 Roberts St
Shawnee, KS 66226-3937

Phone

(913) 667-1728

NPI assigned

Aug 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Shawnee, KS
  • NPI 1437307329
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1295347607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 ROBERTS ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263937",
            "telephone_number": "913-667-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 ROBERTS ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263937",
            "telephone_number": "913-667-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-105713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-105713",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Kyle Hamblin
• Kelsey Reye Hamel, LMSW, TLMAC
• Hammond Chiropractic Center LLC
• Patrick L Hammond, D.C.
• Kirk A. Hance, M.D., F.A.C.S.
• Ashley A Hansen, M.S.
• David John Hanson, LMSW
• Devin Hardy
• Kira Noel Harkins, LMSW
• Sarina Michelle Harman-Tinnel, D.D.S.

• Pharmacist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.