Provider Demographics
NPI:1215397591
Name:HASHEMY, MOE (RPH)
Entity Type:Individual
Prefix:MR
First Name:MOE
Middle Name:
Last Name:HASHEMY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8111 NW 53RD ST APT 464
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4767
Mailing Address - Country:US
Mailing Address - Phone:786-478-9095
Mailing Address - Fax:925-218-5916
Practice Address - Street 1:8111 NW 53RD ST APT 464
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4767
Practice Address - Country:US
Practice Address - Phone:786-478-9095
Practice Address - Fax:925-218-5916
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31255183500000X
IL051296679183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist