Individual provider Active NPI

Mireille Hakimeh, RPH

  • Pharmacist
  • Upland, CA
National Provider Identifier
1831827344
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
84045 Issued in CA
Practice address
1638 Erin Ave Apt 21
Upland, CA 91784-1804
Phone
(626) 260-1958
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 84045 CA Primary

Addresses

Primary practice location

1638 Erin Ave Apt 21
Upland, CA 91784-1804

Mailing address

1638 Erin Ave Apt 21
Upland, CA 91784-1804
Phone (626) 260-1958

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1831827344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 ERIN AVE APT 21",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841804",
            "telephone_number": "626-260-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 ERIN AVE APT 21",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841804",
            "telephone_number": "626-260-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMEH",
        "first_name": "MIREILLE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "84045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.