Active NPI
Elaf Al Wazeer
- Pharmacist
- El Cajon, CA
National Provider Identifier
1255031654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74336
- Practice address
- 455 N Magnolia Ave
El Cajon, CA 92020-3606 - Phone
- (619) 442-0303
- NPI assigned
- Mar 6, 2023
- Last updated
- Nov 20, 2023
- 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 | 74336 | CA | Primary |
Addresses
Primary practice location
455 N Magnolia Ave
El Cajon, CA 92020-3606
Mailing address
2121 Donahue Dr
El Cajon, CA 92019-4221
Phone (619) 212-5054
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 |
|---|---|---|---|
| 74336 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Nudo, LLC | Community/Retail Pharmacy | Current | Accepting new patients |
| PJN Pharmacies Inc | Community/Retail Pharmacy | Past | Accepting new patients |
Locations
455 N Magnolia Ave
El Cajon, CA 92020
Phone (619) 442-0303
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, 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": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1255031654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 DONAHUE DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194221",
"telephone_number": "619-212-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 N MAGNOLIA AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203606",
"telephone_number": "619-442-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL WAZEER",
"first_name": "ELAF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.