Syed Farhad Haider Zaidi

Individual provider Active NPI Pharmacist · Mountain House, CA

NPI 1114575974 · NPPES record last updated Apr 28, 2025

Key facts

NPI
1114575974
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
89273 (CA)
Practice address
19555 Mountain House Pkwy
Mountain House, CA 95391-8041
Phone
(209) 362-1260
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
89273CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past
since May 4, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 89273 CA Yes

Addresses

Primary practice location

19555 Mountain House Pkwy
Mountain House, CA 95391-8041

Mailing address

6426 Shoup Ave
West Hills, CA 91307-3723

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2025.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1114575974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 SHOUP AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19555 MOUNTAIN HOUSE PKWY",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953918041",
            "telephone_number": "209-362-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "SYED",
        "middle_name": "FARHAD HAIDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain House, CA

All providers in Mountain House, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.