Active NPI
Mohamed Lebada, PHARMACIST
- Pharmacist
- Rancho Cucamonga, CA
National Provider Identifier
1144566134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46945
- Practice address
- 5146 Branding Iron PL
Rancho Cucamonga, CA 91739-2273 - Phone
- (714) 955-8251
- NPI assigned
- Dec 18, 2012
- 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 | 46945 | CA | Primary |
Addresses
Primary practice location
5146 Branding Iron PL
Rancho Cucamonga, CA 91739-2273
Mailing address
5146 Branding Iron PL
Rancho Cucamonga, CA 91739-2273
Phone (714) 955-8251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46945 | Other | CA | PHARMACIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46945 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1144566134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5146 BRANDING IRON PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392273",
"telephone_number": "714-955-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5146 BRANDING IRON PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392273",
"telephone_number": "714-955-8251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBADA",
"first_name": "MOHAMED",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-18",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "46945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "46945",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.