Individual provider Active NPI

Hany Mohamed Ibrahim Gaballa, RPI

  • Pharmacist
  • Chester, PA
National Provider Identifier
1902115918
Registry record updated Sep 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPI002295 Issued in PA
Practice address
2722 W 9TH St
Chester, PA 19013-2043
Phone
(610) 494-3910
Fax
(610) 494-5068
NPI assigned
Sep 26, 2010
Last updated
Sep 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPI002295 PA Primary
Pharmacist 183500000X RP441957 PA

Addresses

Primary practice location

2722 W 9TH St
Chester, PA 19013-2043

Mailing address

532 W Brookhaven Rd
Apt # E 6
Brookhaven, PA 19015-1841
Phone (610) 864-8420

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

LicenseStateTypeSpecialty
RP441957PAMDPharmacist
RPI002295PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285459200000",
    "number": "1902115918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 W BROOKHAVEN RD",
            "address_2": "APT # E 6",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190151841",
            "telephone_number": "610-864-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132043",
            "telephone_number": "610-494-3910",
            "fax_number": "610-494-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABALLA",
        "first_name": "HANY",
        "middle_name": "MOHAMED IBRAHIM",
        "credential": "RPI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-26",
        "last_updated": "2010-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI002295",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2010; 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.