Active NPI
Larry Ray Hamel Jr., R. PH.
- Pharmacist
- Willcox, AZ
National Provider Identifier
1932485646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S010072
- Practice address
- 650 N Bisbee Ave
Willcox, AZ 85643-1437 - Phone
- (520) 384-4612
- Fax
- (520) 384-0535
- NPI assigned
- Oct 26, 2011
- Last updated
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S010072 | AZ | Primary |
Addresses
Primary practice location
650 N Bisbee Ave
Willcox, AZ 85643-1437
Mailing address
650 N Bisbee Ave
Willcox, AZ 85643-1437
Phone (520) 384-4612
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S010072 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | 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": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1932485646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N BISBEE AVE",
"city": "WILLCOX",
"state": "AZ",
"postal_code": "856431437",
"telephone_number": "520-384-4612",
"fax_number": "520-384-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N BISBEE AVE",
"city": "WILLCOX",
"state": "AZ",
"postal_code": "856431437",
"telephone_number": "520-384-4612",
"fax_number": "520-384-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMEL",
"first_name": "LARRY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S010072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willcox, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.