Bishoy Aiaad, PHARMD
Individual provider Active NPI Pharmacist · Fallbrook, CA
NPI 1285901934 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1285901934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 66379 (CA)
- Practice address
- 1285 S Mission Rd
Fallbrook, CA 92028-4005 - Phone
- (760) 451-2970
- NPI assigned
- Nov 23, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| 66379 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co. | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1801 N Olden Avenue Ext
Ewing, NJ 08638
Phone (609) 493-9902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66379 | CA | Yes |
Addresses
Primary practice location
1285 S Mission Rd
Fallbrook, CA 92028-4005
Mailing address
1801 N Olden Ave
Ewing, NJ 08638-3108
Phone (609) 493-9902
Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. 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.