Active NPI
Mohamed D Hessein Hassona, PHARMACIST
- Pharmacist
- East Wenatchee, WA
National Provider Identifier
1679352983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60251175
- Practice address
- 470 Grant Rd
East Wenatchee, WA 98802-5336 - Phone
- (509) 886-7047
- NPI assigned
- Sep 26, 2023
- Last updated
- Sep 26, 2023
- 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 | PH60251175 | WA | Primary |
Addresses
Primary practice location
470 Grant Rd
East Wenatchee, WA 98802-5336
Mailing address
207 Yakima St Apt 301
Wenatchee, WA 98801-6904
Phone (604) 889-0369
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 |
|---|---|---|---|
| PH60251175 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
470 Grant Rd
East Wenatchee, WA 98802
Phone (509) 886-7047
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1679352983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 YAKIMA ST APT 301",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988016904",
"telephone_number": "604-889-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 GRANT RD",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "988025336",
"telephone_number": "509-886-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSONA",
"first_name": "MOHAMED",
"middle_name": "D HESSEIN",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60251175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.