Active NPI
William Mark Hanna Sr.
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1831749308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP035334L
- Practice address
- 4600 Rooselvelt Blvd BLDG G
Philadelphia, PA 19124 - Phone
- (215) 288-3900
- NPI assigned
- Sep 17, 2019
- Sex
- Male
- 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 | RP035334L | PA | Primary |
Addresses
Primary practice location
4600 Rooselvelt Blvd BLDG G
Philadelphia, PA 19124
Mailing address
1583 Ramblewood LN
Jamison, PA 18929-1426
Phone (215) 589-2095
Other practice location 1
1583 Ramblewood Ln
Jamison, PA 18929-1426
Phone (215) 589-2095
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 |
|---|---|---|---|
| RP035334L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1831749308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1583 RAMBLEWOOD LN",
"city": "JAMISON",
"state": "PA",
"postal_code": "189291426",
"telephone_number": "215-589-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 ROOSELVELT BLVD BLDG G",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19124",
"telephone_number": "215-288-3900"
}
],
"practiceLocations": [
{
"address_1": "1583 Ramblewood Ln",
"address_purpose": "LOCATION",
"city": "Jamison",
"state": "PA",
"postal_code": "189291426",
"country_code": "US",
"telephone_number": "215-589-2095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "WILLIAM",
"middle_name": "MARK",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP035334L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.