Active NPI
John Hanm, PHARMD
- Pharmacist
- Brooklyn Park, MN
National Provider Identifier
1366828337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122454
- Practice address
- 8000 Lakeland Ave N
Brooklyn Park, MN 55445-2403 - Phone
- (763) 424-7077
- Fax
- (763) 424-8723
- NPI assigned
- Jul 31, 2015
- 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 | 122454 | MN | Primary |
Addresses
Primary practice location
8000 Lakeland Ave N
Brooklyn Park, MN 55445-2403
Mailing address
16600 92ND Ave N
320
Maple Grove, MN 55311-5445
Phone (651) 366-7745
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 |
|---|---|---|---|
| 122454 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1366828337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16600 92ND AVE N",
"address_2": "320",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553115445",
"telephone_number": "651-366-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 LAKELAND AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452403",
"telephone_number": "763-424-7077",
"fax_number": "763-424-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANM",
"first_name": "JOHN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-31",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.