Active NPI
Hania Itawi
- Pharmacist
- New Lebanon, OH
National Provider Identifier
1952724015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03132563
- Practice address
- 590 W Main St
New Lebanon, OH 45345-9172 - Phone
- (937) 687-3456
- NPI assigned
- Jan 27, 2014
- Last updated
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302039137 | MI | |
| Pharmacist | 183500000X | 03132563 | OH | Primary |
Addresses
Primary practice location
590 W Main St
New Lebanon, OH 45345-9172
Mailing address
590 W Main St
New Lebanon, OH 45345-9172
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302039137 | MI | MD | Pharmacist |
| 03132563 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | 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.
-
dba Rite Aid Pharmacy 00449
- Community/Retail Pharmacy
- New Lebanon, OH
- NPI 1255340733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1952724015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 W MAIN ST",
"city": "NEW LEBANON",
"state": "OH",
"postal_code": "453459172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 W MAIN ST",
"city": "NEW LEBANON",
"state": "OH",
"postal_code": "453459172",
"telephone_number": "937-687-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITAWI",
"first_name": "HANIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039137",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03132563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.