Kulsum Sabeen Ahmad, RPH
Individual provider Active NPI Pharmacist · Blue Jay, CA
NPI 1043078728 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1043078728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 89223 (CA)
- Practice address
- 27177 State Highway 189
Blue Jay, CA 92317-0017 - Phone
- (909) 336-1275
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89223 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 89223 | CA | Yes |
Addresses
Primary practice location
27177 State Highway 189
Blue Jay, CA 92317-0017
Mailing address
PO Box 366
Lake Arrowhead, CA 92352-0366
Phone (909) 557-4755
Other providers in Blue Jay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.