Individual provider Active NPI

Ahmed Gamal Abdellatif Hafez

  • Pharmacist
  • Council Bluffs, IA
National Provider Identifier
1912821216
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25467 Issued in IA
Practice address
3860 S 24TH St Ste 100
Council Bluffs, IA 51501-6932
Phone
(855) 745-5725
NPI assigned
Aug 7, 2026
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25467 IA Primary

Addresses

Primary practice location

3860 S 24TH St Ste 100
Council Bluffs, IA 51501-6932

Mailing address

3860 S 24TH St Ste 100
Council Bluffs, IA 51501-6932

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pillpack LLC PastSince Jul 22, 2025 Accepting new patients

Organizations & group practices 1

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": "1786060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1912821216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 S 24TH ST STE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515016932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 S 24TH ST STE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515016932",
            "telephone_number": "855-745-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEZ",
        "first_name": "AHMED",
        "middle_name": "GAMAL ABDELLATIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "25467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.