Active NPI
Sara Ishaq Yacoub Al Haddadin
- Pharmacist
- Huntington Beach, CA
National Provider Identifier
1174335160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89606
- Practice address
- 15520 Goldenwest St
Huntington Beach, CA 92647-2752 - Phone
- (714) 373-4352
- NPI assigned
- Jan 25, 2025
- Last updated
- Apr 29, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 89606 | CA | Primary |
Addresses
Primary practice location
15520 Goldenwest St
Huntington Beach, CA 92647-2752
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
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 |
|---|---|---|---|
| 89606 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
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, 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": "1737763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1174335160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15520 GOLDENWEST ST",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926472752",
"telephone_number": "714-373-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL HADDADIN",
"first_name": "SARA",
"middle_name": "ISHAQ YACOUB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-25",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.