Active NPI
Andrew Haddad, PHARMD, PHD
- Pharmacist
- Stockton, CA
National Provider Identifier
1265365852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP455679
- Practice address
- 3126 Autumn Chase Cir
Stockton, CA 95219-2430 - Phone
- (209) 204-2954
- NPI assigned
- Jun 4, 2026
- Sex
- Male
- 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 | RP455679 | PA | Primary |
Addresses
Primary practice location
3126 Autumn Chase Cir
Stockton, CA 95219-2430
Mailing address
3126 Autumn Chase Cir
Stockton, CA 95219-2430
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 Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP455679 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1265365852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 AUTUMN CHASE CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 AUTUMN CHASE CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192430",
"telephone_number": "209-204-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "ANDREW",
"credential": "PHARMD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PA",
"license": "RP455679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.