Active NPI
Hussam Hassan Hawi
- Pharmacist
- Herndon, VA
National Provider Identifier
1982218020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206727
- Practice address
- 603 Elden St
Herndon, VA 20170-4722 - Phone
- (703) 796-6482
- NPI assigned
- Sep 5, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH100000185 | DC | |
| Pharmacist | 183500000X | 16781 | MD | |
| Pharmacist | 183500000X | 65945 | TX | |
| Pharmacist | 183500000X | 124591 | MN | |
| Pharmacist | 183500000X | 0202206727 | VA | Primary |
Addresses
Primary practice location
603 Elden St
Herndon, VA 20170-4722
Mailing address
9717 Counsellor Dr
Vienna, VA 22181-3252
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 |
|---|---|---|---|
| 16781 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PH100000185 | DC | MD | Pharmacist |
| 124591 | MN | MD | Pharmacist |
| 0202206727 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
603 Elden St
Herndon, VA 20170
Phone (703) 796-0693
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 and National Provider Directory roles.
-
- Pharmacy
- Herndon, VA
- NPI 1174719447
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599264000000",
"number": "1982218020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9717 COUNSELLOR DR",
"city": "VIENNA",
"state": "VA",
"postal_code": "221813252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 ELDEN ST",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704722",
"telephone_number": "703-796-6482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWI",
"first_name": "HUSSAM",
"middle_name": "HASSAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-05",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000185",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "16781",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65945",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124591",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.