Active NPI
Rita Hanna Al-Kass, PHARMD
- Pharmacist
- San Diego, CA
National Provider Identifier
1760205637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 90450
- Practice address
- 4647 Zion Ave
San Diego, CA 92120-2507 - Phone
- (937) 823-5858
- NPI assigned
- Nov 7, 2024
- 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 | 90450 | CA | Primary |
Addresses
Primary practice location
4647 Zion Ave
San Diego, CA 92120-2507
Mailing address
11592 Calle Simpson
El Cajon, CA 92019-4008
Phone (937) 823-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90450 | Other | CA | CALIFORNIA BOARD 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90450 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1760205637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11592 CALLE SIMPSON",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194008",
"telephone_number": "937-823-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 ZION AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202507",
"telephone_number": "937-823-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA AL-KASS",
"first_name": "RITA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "90450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY",
"identifier": "90450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.