Hazem Hassanein

Primary specialty

PharmacistTaxonomy code 183500000X

License

126251 Issued in MN

Practice address

3255 Vicksburg LN N
Plymouth, MN 55447-1317

Phone

(763) 253-8917

NPI assigned

Sep 7, 2023

Sex

Male

Sole proprietor

No

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.

• Walgreen Co

  • Pharmacy
  • Plymouth, MN
  • NPI 1477568608
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2023.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1710763560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 ROCKFORD RD APT 319",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464218",
            "telephone_number": "763-283-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 VICKSBURG LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471317",
            "telephone_number": "763-253-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANEIN",
        "first_name": "HAZEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "126251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Harris, MA LP
• Kerri Lyn Harting, MD
• Laurie Kay Harvison, PT
• Syed Z Hasan, MD
• Sarah Christine Haseltine
• Tyler J Hasse, D.C.
• Hasten Hearts LLC
• Hathaway Mobility Solutions, Inc
• Lindsay A Haugen, PA-C
• Marie E Haugen

• All providers in Plymouth, MN
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.