Individual provider Active NPI

Hassan Saad Ismael

  • Pharmacist
  • Avenal, CA
National Provider Identifier
1346996410
Registry record updated Feb 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH85447 Issued in CA
Practice address
317 E Kings St
Avenal, CA 93204-1630
Phone
(559) 345-6737
NPI assigned
Feb 26, 2022
Last updated
Feb 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH85447 CA Primary

Addresses

Primary practice location

317 E Kings St
Avenal, CA 93204-1630

Mailing address

9804 Tuscarora Dr
Bakersfield, CA 93312-2442
Phone (951) 463-7071

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL software Direct

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
RPH85447CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Avenal Express Pharmacy LLC Current Accepting new patients
Avenal Express Pharmacy LLC Current Accepting new patients

Locations

317 E Kings St
Avenal, CA 93204
Phone (559) 386-5143

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, 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": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1346996410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 TUSCARORA DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122442",
            "telephone_number": "951-463-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E KINGS ST",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041630",
            "telephone_number": "559-345-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAEL",
        "first_name": "HASSAN",
        "middle_name": "SAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH85447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "software",
            "affiliation": "N",
            "endpointDescription": "through primecare softwear system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "317 E Kings St",
            "city": "Avenal",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932041630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avenal, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.