Active NPI
Mohammad T Hussain, RPH
- Pharmacist
- Washington, DC
National Provider Identifier
1619249513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH2863
- Practice address
- 1050 Brentwood Rd NE
Washington, DC 20018-1000 - Phone
- (202) 281-3901
- NPI assigned
- Feb 7, 2012
- Last updated
- Nov 10, 2020
- 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 | PH2863 | DC | Primary |
Addresses
Primary practice location
1050 Brentwood Rd NE
Washington, DC 20018-1000
Mailing address
12716 W Old Baltimore Rd
Boyds, MD 20841-2020
Phone (240) 423-3401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629001975 | Medicaid | DC |
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 |
|---|---|---|---|
| PH2863 | DC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Giant Pharmacy 375
- Community/Retail Pharmacy
- Washington, DC
- NPI 1629001979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1619249513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12716 W OLD BALTIMORE RD",
"city": "BOYDS",
"state": "MD",
"postal_code": "208412020",
"telephone_number": "240-423-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 BRENTWOOD RD NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200181000",
"telephone_number": "202-281-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "MOHAMMAD",
"middle_name": "T",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH2863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629001975",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.