Active NPI
Merihan Hassan
- Pharmacist
- Chicago, IL
National Provider Identifier
1376317479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.305944
- Practice address
- 2345 W 103Rd St
Chicago, IL 60643-2423 - Phone
- (773) 429-0767
- NPI assigned
- Nov 8, 2023
- Last updated
- Nov 8, 2023
- Sex
- Female
- 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 | 051.305944 | IL | Primary |
Addresses
Primary practice location
2345 W 103Rd St
Chicago, IL 60643-2423
Mailing address
6027 103Rd St
Chicago Ridge, IL 60415-1677
Phone (708) 915-9877
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 |
|---|---|---|---|
| 051.305944 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2345 W 103rd St
Chicago, IL 60643
Phone (773) 429-0767
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": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1376317479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6027 103RD ST",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604151677",
"telephone_number": "708-915-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 W 103RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432423",
"telephone_number": "773-429-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MERIHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.305944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.