DR. KIROLLOS SAMIR HANNA (NPI# 1356976328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356976328 |
| Entity Type | Individual |
| Full Name | DR. KIROLLOS SAMIR HANNA |
| Credential | PHARMD, BCPS, BCOP |
| Practice Address |
14500 99th Ave N, Suite 0a030 Maple Grove MN 55369 |
| Mailing Address |
60 Rapp Farm Blvd North Oaks MN 55127-4201 |
| Practice Telephone | 7638981822 |
| Mailing Telephone | 6154819433 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
122718 | MN | Pharmacy Service Providers |
| Street Address |
14500 99TH AVE N, SUITE 0A030 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| 1184049298 | Northwest Family Chiropractic Pa | Chiropractor | 7372 Kirkwood Court, Suite A, Maple Grove, MN 55369 | 2014-02-26 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200024 | Zach Rivers | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-03-17 |
| 1336614312 | Murray Leraas | Pharmacist | 1 Veterans Dr # 119, Minneapolis, MN 55417-2309 | 2018-10-05 |
| 1164913174 | Patrice Marie Hohn | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2018-05-24 |
| 1760834451 | David Gregornik | Pharmacist | 2525 Chicago Ave, Suite 560, Minneapolis, MN 55404-4518 | 2016-07-06 |
| 1801969084 | Janine Leigh Merriman | Pharmacist | 2550 University Ave W, Suite 110n, Saint Paul, MN 55114-1052 | 2006-11-16 |
| 1326110602 | Jill Ann Tetrick | Pharmacist | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2006-11-14 |
| 1790857902 | Judith Gauthier | Pharmacist | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2006-11-14 |
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on DR. KIROLLOS SAMIR HANNA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.