Active NPI
Maya Aiman Hassan
- Pharmacist
- New Haven, IN
National Provider Identifier
1780408989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26030674A
- Practice address
- 115 State Road 930 E
New Haven, IN 46774-1359 - Phone
- (260) 493-1514
- NPI assigned
- Nov 13, 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 | 26030674A | IN | Primary |
Addresses
Primary practice location
115 State Road 930 E
New Haven, IN 46774-1359
Mailing address
272 Jadis CT
Fort Wayne, IN 46845-0044
Phone (260) 414-8155
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 |
|---|---|---|---|
| 26030674A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
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.
-
- Pharmacy
- New Haven, IN
- NPI 1578666202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1780408989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 JADIS CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468450044",
"telephone_number": "260-414-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 STATE ROAD 930 E",
"city": "NEW HAVEN",
"state": "IN",
"postal_code": "467741359",
"telephone_number": "260-493-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MAYA",
"middle_name": "AIMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26030674A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.