Kirollos Samir Hanna, PHARMD, BCPS, BCOP

Primary specialty

Oncology PharmacistTaxonomy code 1835X0200X

License

122718 Issued in MN

Practice address

14500 99TH Ave N, Suite 0A030
Maple Grove, MN 55369

Phone

(763) 898-1822

NPI assigned

Mar 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1356976328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 RAPP FARM BLVD",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551274201",
            "telephone_number": "615-481-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 99TH AVE N, SUITE 0A030",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "763-898-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "KIROLLOS",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS, BCOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "MN",
            "license": "122718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khanna1@fairview.org",
            "affiliation": "Y",
            "endpointDescription": "khanna1@fairview.org",
            "affiliationName": "Fairview Pharmacy Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14500 99th Ave N, Suite 0A030",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Hammer, LICSW
• Leah Nicole Hammer, PT
• Sydney Hamre, RN
• Allyson Irene Hamski
• Hand Over Heart
• Hanson Associates LLC
• Alexis Hanson
• Ava Simone Hanson, MSW
• Gary D Hanson, LMFT
• Jadelyn Hanson, MSW, LGSW

• Oncology Pharmacist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Oncology Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.