Active NPI
Doug Hahn
- Pharmacist
- Staten Island, NY
National Provider Identifier
1427227065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042612-1
- Practice address
- 3501 Amboy Rd
Staten Island, NY 10306 - Phone
- (718) 227-0667
- NPI assigned
- Feb 28, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042612-1 | NY | Primary |
| Pharmacist | 183500000X | 28R102264000 | NJ | |
| Pharmacist | 183500000X | RPH43558 | CA | |
| Pharmacist | 183500000X | 11587 | CO |
Addresses
Primary practice location
3501 Amboy Rd
Staten Island, NY 10306
Mailing address
142 Tallman St
Staten Island, NY 10312-4914
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 |
|---|---|---|---|
| RPH43558 | CA | MD | Pharmacist |
| 11587 | CO | MD | Pharmacist |
| 28R102264000 | NJ | MD | Pharmacist |
| 042612-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1427227065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 TALLMAN ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10306",
"telephone_number": "718-227-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "DOUG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042612-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28R102264000",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH43558",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "11587",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.