Jamila Fatima Bajwa
Individual provider Active NPI Pharmacist · Sun Valley, NV
NPI 1386489672 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1386489672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24151 (NV)
- Practice address
- 5485 Sun Valley Blvd
Sun Valley, NV 89433-7633 - Phone
- (559) 304-9212
- NPI assigned
- Jun 27, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24151 | NV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24151 | NV | Yes |
Addresses
Primary practice location
5485 Sun Valley Blvd
Sun Valley, NV 89433-7633
Mailing address
5485 Sun Valley Blvd
Sun Valley, NV 89433-7633
Other providers in Sun Valley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. 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.