Active NPI
Botros Hanna, PHARMACIST
- Pharmacist
- Bozeman, MT
National Provider Identifier
1659812048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42802
- Practice address
- 2420 Daws Dr
Apt D
Bozeman, MT 59718-6979 - Phone
- (508) 250-9763
- NPI assigned
- Mar 17, 2017
- Last updated
- Mar 17, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42802 | MT | Primary |
Addresses
Primary practice location
2420 Daws Dr
Apt D
Bozeman, MT 59718-6979
Mailing address
2420 Daws Dr
Apt D
Bozeman, MT 59718-6979
Phone (508) 250-9763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H500-069-77-201-0 | Other | FL | FLORIDA DRIVER LICENSE |
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 |
|---|---|---|---|
| 42802 | MT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1659812048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 DAWS DR",
"address_2": "APT D",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186979",
"telephone_number": "508-250-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 DAWS DR",
"address_2": "APT D",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186979",
"telephone_number": "508-250-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "BOTROS",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "42802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DRIVER LICENSE",
"identifier": "H500-069-77-201-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.