Provider Demographics
NPI:1770269516
Name:HAMMAD, RAGHDA MAJED AHMAD (PHARMD)
Entity type:Individual
Prefix:
First Name:RAGHDA
Middle Name:MAJED AHMAD
Last Name:HAMMAD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 5TH AVE # 511434
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-4306
Mailing Address - Country:US
Mailing Address - Phone:212-835-6920
Mailing Address - Fax:
Practice Address - Street 1:245 E 84TH ST APT 19B
Practice Address - Street 2:APT 19B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2995
Practice Address - Country:US
Practice Address - Phone:803-716-7976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070249-01183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist