Rafal Ammar Alsabbagh
Individual provider Active NPI Pharmacist · Lincoln, CA
NPI 1114641487 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1114641487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH85855 (CA)
- Practice address
- 63 Lincoln Blvd
Lincoln, CA 95648-9389 - Phone
- (916) 408-0230
- NPI assigned
- Sep 30, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH85855 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past |
Accepting new patients | |
| Longs Drug Stores California LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH85855 | CA | Yes |
Addresses
Primary practice location
63 Lincoln Blvd
Lincoln, CA 95648-9389
Mailing address
63 Lincoln Blvd
Lincoln, CA 95648-9389
Phone (916) 408-0230
Other providers in Lincoln, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. 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.