Individual provider Active NPI

Andrew N Hanna

  • Pharmacist
  • Neptune City, NJ
National Provider Identifier
1740959873
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04199300 Issued in NJ
Practice address
1905 State Route 33
Neptune City, NJ 07753-4803
Phone
(732) 988-2100
NPI assigned
Sep 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04199300 NJ Primary

Addresses

Primary practice location

1905 State Route 33
Neptune City, NJ 07753-4803

Mailing address

1905 State Route 33
Neptune City, NJ 07753-4803
Phone (732) 988-2100

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
28RI04199300NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Pharmacy Inc. Current Accepting new patients
Walgreen Co CurrentSince May 1, 2022 Accepting new patients
SLM Pharmacy Inc Current Accepting new patients

Locations

1905 State Route 33
Neptune City, NJ 07753
Phone (732) 988-2100

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": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1740959873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 STATE ROUTE 33",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077534803",
            "telephone_number": "732-988-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 STATE ROUTE 33",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077534803",
            "telephone_number": "732-988-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ANDREW",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04199300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.