Active NPI
Ayham Hassan Hassan
- Pharmacist
- New Orleans, LA
National Provider Identifier
1306676994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.025454
- Practice address
- 6201 Elysian Fields Ave
New Orleans, LA 70122-4211 - Phone
- (504) 283-2891
- NPI assigned
- Aug 7, 2024
- Sex
- Male
- 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 | PST.025454 | LA | Primary |
Addresses
Primary practice location
6201 Elysian Fields Ave
New Orleans, LA 70122-4211
Mailing address
21 Magnolia Trace Dr
Harvey, LA 70058-6111
Phone (504) 231-8026
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 |
|---|---|---|---|
| PST.025454 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1306676994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MAGNOLIA TRACE DR",
"city": "HARVEY",
"state": "LA",
"postal_code": "700586111",
"telephone_number": "504-231-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 ELYSIAN FIELDS AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701224211",
"telephone_number": "504-283-2891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "AYHAM",
"middle_name": "HASSAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.025454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.