Active NPI
Kanella Hatzis, PHARM D
- Pharmacist
- Beverly, MA
National Provider Identifier
1336744366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 233347
- Practice address
- 19 Dodge St
Beverly, MA 01915-1705 - Phone
- (978) 927-0060
- NPI assigned
- Nov 30, 2020
- 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 | 233347 | MA | Primary |
Addresses
Primary practice location
19 Dodge St
Beverly, MA 01915-1705
Mailing address
26 Marilyn CT
Lynn, MA 01904-2056
Phone (339) 206-2279
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
| License | State | Type | Specialty |
|---|---|---|---|
| 233347 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1336744366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MARILYN CT",
"city": "LYNN",
"state": "MA",
"postal_code": "019042056",
"telephone_number": "339-206-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 DODGE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151705",
"telephone_number": "978-927-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATZIS",
"first_name": "KANELLA",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "233347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.