Abdul Ahad Ahmad, PHARMACIST

Individual provider Active NPI Pharmacist · El Dorado Hills, CA

NPI 1376018432 · NPPES record last updated Oct 4, 2018

Key facts

NPI
1376018432
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
79368 (CA)
Practice address
2207 Francisco Dr
El Dorado Hills, CA 95762-3759
Phone
(916) 939-9463
Fax
(916) 939-9482
NPI assigned
Oct 4, 2018
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
79368CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 79368 CA Yes

Addresses

Primary practice location

2207 Francisco Dr
El Dorado Hills, CA 95762-3759

Mailing address

3054 Pescara PL
El Dorado Hills, CA 95762-5462
Phone (916) 380-7066

Other providers in El Dorado Hills, CA

All providers in El Dorado Hills, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.