Gada Hamed, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

22049-40 Issued in WI

Practice address

4924 7TH Ave
Kenosha, WI 53140-3349

Phone

(262) 997-9573

Fax

(262) 997-9574

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Modern Apothecary, LLC

  • Pharmacy
  • Kenosha, WI
  • NPI 1407265598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1790406288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 4TH AVE UNIT 209",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531404208",
            "telephone_number": "314-201-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 7TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403349",
            "telephone_number": "262-997-9573",
            "fax_number": "262-997-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11253 Saint Charles Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442702",
            "country_code": "US",
            "telephone_number": "314-738-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMED",
        "first_name": "GADA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2022034673",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051305049",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "22049-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey W Hall, DC
• Sarah Michelle Hall
• Karen Marie Halter, RN
• Rodney J Halvorsen, M.D.
• Jennifer Hamann
• Randall J Hammett, DC
• Jane Emily Hammond, C.D.E.
• Peter D Han, M.D.
• Dana Handrow, CCC-SLP
• Hanger Prosthetics & Orthotics East, Inc.

• Pharmacist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.