Organization Active NPI

Hanford Pharmacy Inc

  • Pharmacy
  • Hanford, CA
National Provider Identifier
1891300364
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HANFORD PHARMACY INC
Practice address
365 Campus Dr Ste 101
Hanford, CA 93230-4374
Phone
(559) 583-1480
Fax
(559) 583-1475
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Authorized official

Name
Emad Mousad, RPHNPI 1992114946
Title
Pharmacist
Phone
(559) 583-1480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

365 Campus Dr Ste 101
Hanford, CA 93230-4374

Mailing address

365 Campus Dr Ste 101
Hanford, CA 93230-4374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818004083 CA Part B Supplier - Pharmacy 6204103450 Practice locations: Hanford, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

839 W Lacey Blvd
Hanford, CA 93230

365 Campus Dr
Ste 101
Hanford, CA 93230
Phone (559) 583-1480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639180800000",
    "number": "1891300364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CAMPUS DR STE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CAMPUS DR STE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304374",
            "telephone_number": "559-583-1480",
            "fax_number": "559-583-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANFORD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "MOUSAD",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "559-583-1480",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.