Active NPI
Zarina Qutubuddin
- Pharmacist
- Moreno Valley, CA
National Provider Identifier
1336605047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67183
- Practice address
- 12818 Heacock St
Moreno Valley, CA 92553-3165 - Phone
- (951) 247-3501
- NPI assigned
- Feb 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 67183 | CA | Primary |
Addresses
Primary practice location
12818 Heacock St
Moreno Valley, CA 92553-3165
Mailing address
13873 Star Gazer CT
Eastvale, CA 92880
Phone (951) 479-6908
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1336605047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13873 STAR GAZER CT",
"city": "EASTVALE",
"state": "CA",
"postal_code": "92880",
"telephone_number": "951-479-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12818 HEACOCK ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925533165",
"telephone_number": "951-247-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUTUBUDDIN",
"first_name": "ZARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.