Individual provider Active NPI

Rimon Samir Fahmy Hanna, PHARMD

  • Pharmacist
  • Renton, WA
National Provider Identifier
1912481268
Registry record updated Sep 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60860235 Issued in WA
Practice address
708 S 23Rd St
Renton, WA 98055-4206
Phone
(508) 250-7808
NPI assigned
Sep 22, 2018
Last updated
Sep 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60860235 WA Primary

Addresses

Primary practice location

708 S 23Rd St
Renton, WA 98055-4206

Mailing address

708 S 23Rd St
Renton, WA 98055-4206
Phone (508) 250-7808

Other practice location 1

20830 108th Ave SE
Kent, WA 98031-2168
Phone (253) 854-2814

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
60860235WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537574400000",
    "number": "1912481268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S 23RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554206",
            "telephone_number": "508-250-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S 23RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554206",
            "telephone_number": "508-250-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20830 108th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980312168",
            "country_code": "US",
            "telephone_number": "253-854-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "RIMON",
        "middle_name": "SAMIR FAHMY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-22",
        "last_updated": "2018-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60860235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2018; 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.