Active NPI
Mahmoud Refaat Hassan, RPH
- Pharmacist
- Deer Park, NY
National Provider Identifier
1508438177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I067711
- Practice address
- 1944 Deer Park Ave
Deer Park, NY 11729-3327 - Phone
- (631) 667-6557
- NPI assigned
- Jul 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | I067711 | NY | Primary |
Addresses
Primary practice location
1944 Deer Park Ave
Deer Park, NY 11729-3327
Mailing address
1944 Deer Park Ave
Deer Park, NY 11729-3327
Phone (631) 667-6557
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I067711 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1508438177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1944 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293327",
"telephone_number": "631-667-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293327",
"telephone_number": "631-667-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MAHMOUD",
"middle_name": "REFAAT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-13",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I067711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.