Hassan Abdelrahman

Individual provider Active NPI Pharmacist · Charlotte, NC

NPI 1467742007 · NPPES record last updated Apr 17, 2011

Key facts

NPI
1467742007
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
18612 (NC)
Practice address
2035 N Sharon Amity Rd
Charlotte, NC 28205-7923
Phone
(704) 535-9850
NPI assigned
Apr 16, 2011
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18612NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina CVS Pharmacy LLC Past Accepting new patients
North Carolina CVS Pharmacy LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18612 NC Yes

Addresses

Primary practice location

2035 N Sharon Amity Rd
Charlotte, NC 28205-7923

Mailing address

4610 Hackberry Grove Cir
Apt # 2221
Charlotte, NC 28269
Phone (760) 391-3849

Other providers in Charlotte, NC

All providers in Charlotte, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.