Individual provider Active NPI

Kimberly Hassinger, PHARM D

  • Pharmacist
  • Havertown, PA
National Provider Identifier
1922308089
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP445140 Issued in PA
Practice address
116 W Township Line Rd
Havertown, PA 19083-5235
Phone
(610) 449-1414
NPI assigned
Oct 23, 2010
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202210285 VA
Pharmacist 183500000X RP445140 PA Primary

Addresses

Primary practice location

116 W Township Line Rd
Havertown, PA 19083-5235

Mailing address

3560 Route 611 Ste 105
Bartonsville, PA 18321-9452
Phone (570) 421-2896

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
RP445140PAMDPharmacist
0202210285VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Giant Company, LLC PastSince Jan 2, 2022 Accepting new patients
The Giant Company, LLC PastSince Jan 2, 2022 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": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1922308089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 ROUTE 611 STE 105",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183219452",
            "telephone_number": "570-421-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W TOWNSHIP LINE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835235",
            "telephone_number": "610-449-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSINGER",
        "first_name": "KIMBERLY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-23",
        "last_updated": "2021-12-27",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210285",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.