Individual provider Active NPI

Hany Abdelmalek Georgy

  • Pharmacist
  • Long Beach, CA
National Provider Identifier
1689435455
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH61915 Issued in CA
Practice address
430 W Willow St
Long Beach, CA 90806-2804
Phone
(562) 492-9484
Fax
(562) 492-9490
NPI assigned
Jan 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH61915 CA Primary

Addresses

Primary practice location

430 W Willow St
Long Beach, CA 90806-2804

Mailing address

430 W Willow St
Long Beach, CA 90806-2804
Phone (562) 492-9484

Other identifiers 1

IdentifierTypeStateIssuer
RPH61915OtherCABOARD OF PHARMACY

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
RPH61915CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
H & E Pharmacy & Medical Supplies Inc CurrentSince Jan 21, 2024 Accepting new patients

Locations

430 W Willow St
Long Beach, CA 90806
Phone (562) 492-9484

Organizations & group practices 1

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": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1689435455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062804",
            "telephone_number": "562-492-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062804",
            "telephone_number": "562-492-9484",
            "fax_number": "562-492-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGY",
        "first_name": "HANY",
        "middle_name": "ABDELMALEK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH61915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "RPH61915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.