Maisa Haddad, R.PH
Individual provider Active NPI Pharmacist · Bonsall, CA
NPI 1376128256 · NPPES record last updated Mar 12, 2021
Key facts
- NPI
- 1376128256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302031556 (MI)
- Practice address
- 30427 Montrachet St
Bonsall, CA 92003-7213 - Phone
- (734) 233-7466
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031556 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302031556 | MI | Yes |
Addresses
Primary practice location
30427 Montrachet St
Bonsall, CA 92003-7213
Mailing address
30427 Montrachet St
Bonsall, CA 92003-7213
Phone (734) 233-7466
Other providers in Bonsall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2021. 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.