Abdulkaher Al-Jonaid, PHARM. D.
Individual provider Active NPI Pharmacist · Eureka, CA
NPI 1215219985 · NPPES record last updated Sep 19, 2011
Key facts
- NPI
- 1215219985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 62069 (CA)
- Practice address
- 2525 Harris St
Eureka, CA 95503-4805 - Phone
- (707) 444-0521
- Fax
- (707) 444-0526
- NPI assigned
- Sep 19, 2011
- Sex
- Male
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62069 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62069 | CA | Yes |
Addresses
Primary practice location
2525 Harris St
Eureka, CA 95503-4805
Mailing address
2525 Harris St
Eureka, CA 95503-4805
Phone (707) 444-0521
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2011. 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.