Diana Danial Abdou Shafik, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

89539 Issued in CA

Practice address

8283 Grove Ave Ste 108
Rancho Cucamonga, CA 91730-3139

Phone

(909) 480-4401

NPI assigned

Jun 12, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1336981059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21014 E CIENEGA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241413",
            "telephone_number": "909-516-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 108",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303139",
            "telephone_number": "909-480-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFIK",
        "first_name": "DIANA",
        "middle_name": "DANIAL ABDOU",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.