Active NPI
Hassan Saad Ismael
- Pharmacist
- Avenal, CA
National Provider Identifier
1346996410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH85447
- Practice address
- 317 E Kings St
Avenal, CA 93204-1630 - Phone
- (559) 345-6737
- NPI assigned
- Feb 26, 2022
- Last updated
- Feb 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH85447 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Express Pharmacy
- Community/Retail Pharmacy
- Avenal, CA
- NPI 1013489400
-
- Long Term Care Pharmacy
- Avenal, CA
- NPI 1083465199
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.