Individual provider Active NPI

Mahmoud Hanaif, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1306532338
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
070091 Issued in NY
Practice address
105-04 101St Ave Ozone Park
New York, NY 11416
Phone
(347) 494-4240
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 070091 NY Primary

Addresses

Primary practice location

105-04 101St Ave Ozone Park
New York, NY 11416

Mailing address

176 Hill St
Ansonia, CT 06401-2462
Phone (203) 954-5680

Other practice location 1

10504 101st Ave
Ozone Park, NY 11416-2703
Phone (347) 494-4240

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
070091NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Prime Pharmacy Inc, CurrentSince Apr 16, 2023 Accepting new patients

Locations

10504 101st Ave
Ozone Park, NY 11416

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1306532338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 HILL ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012462",
            "telephone_number": "203-954-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105-04 101ST AVE OZONE PARK",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11416",
            "telephone_number": "347-494-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10504 101st Ave",
            "address_purpose": "LOCATION",
            "city": "Ozone Park",
            "state": "NY",
            "postal_code": "114162703",
            "country_code": "US",
            "telephone_number": "347-494-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANAIF",
        "first_name": "MAHMOUD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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

Verify at the official NPI Registry.