Individual provider Active NPI

Neil H Sandow

  • Pharmacist
  • Fairfield, CA
National Provider Identifier
1043861941
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH32351 Issued in CA
Practice address
1330 Gateway Blvd
Fairfield, CA 94533-6915
Phone
(707) 422-0500
Fax
(707) 422-0555
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH32351 CA Primary

Addresses

Primary practice location

1330 Gateway Blvd
Fairfield, CA 94533-6915

Mailing address

1330 Gateway Blvd
Fairfield, CA 94533-6915
Phone (707) 422-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RPH32351CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarhaddi Pharmaceutical Inc CurrentSince Aug 16, 2021 Accepting new patients
Sarhaddi Pharmaceutical Inc PastSince Sep 29, 2019 Accepting new patients

Locations

1330 Gateway Blvd
Fairfield, CA 94533
Phone (707) 422-0500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1043861941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 GATEWAY BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336915",
            "telephone_number": "707-422-0500",
            "fax_number": "707-422-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 GATEWAY BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336915",
            "telephone_number": "707-422-0500",
            "fax_number": "707-422-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOW",
        "first_name": "NEIL",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH32351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.