Rasha H Abdelwahed
Individual provider Active NPI Pharmacist · Roseville, CA
NPI 1235449018 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1235449018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 76890 (CA)
- Practice address
- 5090 Foothills Blvd
Roseville, CA 95747-6517 - Phone
- (916) 783-1533
- NPI assigned
- Oct 14, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI3178400 | NJ | MD | Pharmacist |
| 055586 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past |
Accepting new patients | |
| Duane Reade | Past | Accepting new patients | |
| Duane Reade | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 055586 | NY | |
| Pharmacist | 183500000X | 28RI3178400 | NJ | |
| Pharmacist | 183500000X | 76890 | CA | Yes |
Addresses
Primary practice location
5090 Foothills Blvd
Roseville, CA 95747-6517
Mailing address
5090 Foothills Blvd
Roseville, CA 95747-6517
Phone (916) 783-1355
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. 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.