NPIMap

Individual provider Active NPI

Mazen Elhadjsaid

  • Pharmacist
  • Dunbar, WV
National Provider Identifier
1669775896
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0006311 Issued in WV
Practice address
981 Dunbar Village PLZ
Dunbar, WV 25064-3137
Phone
(304) 768-7326
NPI assigned
Dec 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0006311 WV Primary

Addresses

Primary practice location

981 Dunbar Village PLZ
Dunbar, WV 25064-3137

Mailing address

101 E McClure Dr
Scott Depot, WV 25560-8911

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

LicenseStateTypeSpecialty
RP0006311WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
White Dove Pharmacy, LLC. Current Accepting new patients
Kroger Limited Partnership I Past Accepting new patients
Kroger Limited Partnership I Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1669775896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MCCLURE DR",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255608911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 DUNBAR VILLAGE PLZ",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643137",
            "telephone_number": "304-768-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHADJSAID",
        "first_name": "MAZEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunbar, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.