1043498991 NPI number — HAMID CORP

Table of content: (NPI 1043498991)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043498991 NPI number — HAMID CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAMID CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FIRST PHARMACY #5
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043498991
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 25247
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00928-5247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-722-3600
Provider Business Mailing Address Fax Number:
787-722-6555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
615 CALLE DR.MANUEL PAVIA
Provider Second Line Business Practice Location Address:
SANTURCE
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00909-3203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-722-3600
Provider Business Practice Location Address Fax Number:
787-722-6555
Provider Enumeration Date:
02/02/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HAMID
Authorized Official First Name:
HASSAN
Authorized Official Middle Name:
SABRI
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-763-9536

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  09-F-2564 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4018152 . This is a "NCPDP" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".