Active NPI
Hanan Alzaim
- Pharmacist
- Braintree, MA
National Provider Identifier
1760146823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240055
- Practice address
- 91 Christina Dr
Braintree, MA 02184-8265 - Phone
- (617) 455-5354
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PH240055 | MA | Primary |
Addresses
Primary practice location
91 Christina Dr
Braintree, MA 02184-8265
Mailing address
91 Christina Dr
Braintree, MA 02184-8265
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Connexus | Direct | Walmart Inc. |
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 |
|---|---|---|---|
| PH240055 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1760146823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 CHRISTINA DR",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021848265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 CHRISTINA DR",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021848265",
"telephone_number": "617-455-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALZAIM",
"first_name": "HANAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240055",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Connexus",
"affiliation": "Y",
"endpointDescription": "Walmart Connexus",
"affiliationName": "Walmart Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4625 S Mason St",
"city": "Fort Collins",
"state": "CO",
"country_code": "US",
"postal_code": "805253740",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.