Individual provider Active NPI

Gadeer Rasheed Hanbali, RPH

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1548917115
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
021786 Issued in KY
Practice address
9440 Brownsboro Rd
Louisville, KY 40241-1200
Phone
(502) 425-8407
Fax
(502) 425-9793
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03440370 OH
Pharmacist 183500000X 021786 KY Primary

Addresses

Primary practice location

9440 Brownsboro Rd
Louisville, KY 40241-1200

Mailing address

4322 Brownhurst Way
Louisville, KY 40241-1183
Phone (502) 345-6700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gadeer.hanbali@stores.kroger.com

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

LicenseStateTypeSpecialty
021786KYMDPharmacist
03440370OHMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1548917115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 BROWNHURST WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411183",
            "telephone_number": "502-345-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411200",
            "telephone_number": "502-425-8407",
            "fax_number": "502-425-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANBALI",
        "first_name": "GADEER",
        "middle_name": "RASHEED",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03440370",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "021786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gadeer.hanbali@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "9440 Brownsboro Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402411200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.