Active NPI
Nazaneen Raouf, PHARMD
- Pharmacist
- Sacramento, CA
National Provider Identifier
1184995136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65433
- Practice address
- 4200 Arden Way
Sacramento, CA 95864-3021 - Phone
- (916) 485-4069
- Fax
- (916) 485-9489
- NPI assigned
- Jan 23, 2012
- Sex
- Female
- 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 | 65433 | CA | Primary |
Addresses
Primary practice location
4200 Arden Way
Sacramento, CA 95864-3021
Mailing address
2516 Marshalynn Way
Elk Grove, CA 95758-7643
Phone (916) 689-5310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COLOR786 | Other | CA | WALGREENS PHARMACY |
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
- Doctor of Pharmacy
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": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1184995136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 MARSHALYNN WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587643",
"telephone_number": "916-689-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 ARDEN WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958643021",
"telephone_number": "916-485-4069",
"fax_number": "916-485-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAOUF",
"first_name": "NAZANEEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WALGREENS PHARMACY",
"identifier": "COLOR786",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.