Active NPI
Hilda Dolapo Hassan
- Geriatric Pharmacist
- Montgomery, IL
National Provider Identifier
1467969402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 051-299440
- Practice address
- 2937 Shetland LN
Montgomery, IL 60538-4104 - Phone
- (847) 807-9288
- NPI assigned
- Dec 29, 2017
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 051-299440 | IL | Primary |
Addresses
Primary practice location
2937 Shetland LN
Montgomery, IL 60538-4104
Mailing address
2937 Shetland LN
Montgomery, IL 60538-4104
Phone (847) 807-9288
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 |
|---|---|---|---|
| 051-299440 | IL | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1467969402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2937 SHETLAND LN",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605384104",
"telephone_number": "847-807-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2937 SHETLAND LN",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605384104",
"telephone_number": "847-807-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "HILDA",
"middle_name": "DOLAPO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "IL",
"license": "051-299440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.