Individual provider Active NPI

Magdy Hanna, RPH

  • Pharmacist
  • Conway, SC
National Provider Identifier
1619298775
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
011898 Issued in SC
Practice address
1610 Church St Ste C
Conway, SC 29526-2960
Phone
(843) 488-3535
Fax
(843) 488-3435
NPI assigned
Jun 11, 2010
Last updated
Oct 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11898 SC
Pharmacist 183500000X 28RI02710100 NJ
Pharmacist 183500000X 45743 TX
Pharmacist 183500000X 011898 SC Primary

Addresses

Primary practice location

1610 Church St Ste C
Conway, SC 29526-2960

Mailing address

1610 Church St Ste C
Conway, SC 29526-2960
Phone (843) 488-3535

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
28RI02710100NJMDPharmacist
011898SCMDPharmacist
11898SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Pharmacy LLC CurrentSince Oct 11, 2020 Accepting new patients
Publix Super Markets Inc PastSince Aug 1, 2019 Accepting new patients
Publix Super Markets Inc PastSince Aug 1, 2019 Accepting new patients

Locations

1610 Church St
Ste C
Conway, SC 29526
Phone (843) 488-3535

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1619298775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CHURCH ST STE C",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295262960",
            "telephone_number": "843-488-3535",
            "fax_number": "843-488-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 CHURCH ST STE C",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295262960",
            "telephone_number": "843-488-3535",
            "fax_number": "843-488-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MAGDY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11898",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02710100",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45743",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "011898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

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

Verify at the official NPI Registry.