Individual provider Active NPI

Hanan Wadid Kamel

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1306124482
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03211500 Issued in NJ
Practice address
157 Braisted Ave
Staten Island, NY 10314-6134
Phone
(347) 873-0134
NPI assigned
Jul 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03211500 NJ Primary
Pharmacist 183500000X PS47392 FL
Pharmacist 183500000X 7581385 NY

Addresses

Primary practice location

157 Braisted Ave
Staten Island, NY 10314-6134

Mailing address

157 Braisted Ave
Staten Island, NY 10314-6134

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
PS47392FLMDPharmacist
28RI03211500NJMDPharmacist
7581385NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1306124482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BRAISTED AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BRAISTED AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146134",
            "telephone_number": "347-873-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEL",
        "first_name": "HANAN",
        "middle_name": "WADID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03211500",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47392",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "7581385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.