Individual provider Active NPI

Elsayed Hassan

  • Pharmacotherapy Pharmacist
  • Louisville, KY
National Provider Identifier
1376182782
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
3159360 Issued in KY
Practice address
3606 Wynbrooke Cir
Louisville, KY 40241-3054
Phone
(502) 554-4349
NPI assigned
Jan 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P1200X 3159360 KY Primary

Addresses

Primary practice location

3606 Wynbrooke Cir
Louisville, KY 40241-3054

Mailing address

3606 Wynbrooke Cir
Louisville, KY 40241-3054

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elsayed.mohamedhassan@stores.kroger.com

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
3159360KYMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1376182782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 WYNBROOKE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 WYNBROOKE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413054",
            "telephone_number": "502-554-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "ELSAYED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KY",
            "license": "3159360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elsayed.mohamedhassan@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "buisness email",
            "address_1": "3606 Wynbrooke Cir",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402413054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.