Active NPI
Shady Tarek Youssef Saad, RPH.
- Pharmacist
- Corona, CA
National Provider Identifier
1124560321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH74969
- Practice address
- 100 W Ontario Ave
Corona, CA 92882-5215 - Phone
- (951) 685-0139
- Fax
- (951) 493-6762
- NPI assigned
- Nov 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH74969 | CA | Primary |
Addresses
Primary practice location
100 W Ontario Ave
Corona, CA 92882-5215
Mailing address
100 W Ontario Ave
Corona, CA 92882-5215
Phone (951) 582-9551
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH74969 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758326400000",
"number": "1124560321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W ONTARIO AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928825215",
"telephone_number": "951-582-9551",
"fax_number": "951-493-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W ONTARIO AVE",
"city": "CORONA",
"state": "CA",
"postal_code": "928825215",
"telephone_number": "951-685-0139",
"fax_number": "951-493-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAD",
"first_name": "SHADY",
"middle_name": "TAREK YOUSSEF",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-06",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH74969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.