Healthcare Provider Details

I. General information

NPI: 1508705997
Provider Name (Legal Business Name): YOUNUS HAMED MOHAMMED HAMMAD CPHT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 W MERCURY BLVD
HAMPTON VA
23666-3114
US

IV. Provider business mailing address

1003 WESTBRIAR DR NE
VIENNA VA
22180-3667
US

V. Phone/Fax

Practice location:
  • Phone: 757-262-1227
  • Fax:
Mailing address:
  • Phone: 703-231-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number0230044588
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: