Individual provider Active NPI

Mena Anter William Sadek, RPH

  • Pharmacist
  • Bellflower, CA
National Provider Identifier
1407437841
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
82903 Issued in CA
Practice address
15740 Woodruff Ave
Bellflower, CA 90706-4018
Phone
(562) 867-5441
NPI assigned
Apr 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 82903 CA Primary

Addresses

Primary practice location

15740 Woodruff Ave
Bellflower, CA 90706-4018

Mailing address

8228 Cheyenne Ave
Downey, CA 90242-4318
Phone (213) 249-6348

Other practice location 1

1710 S Main St
Santa Ana, CA 92707-1836
Phone (714) 953-7538

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
82903CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RX Meds Pharmaceutical PastSince Nov 1, 2020 Accepting new patients
Medcare Family Pharmacy Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1407437841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 CHEYENNE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424318",
            "telephone_number": "213-249-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15740 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064018",
            "telephone_number": "562-867-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 S Main St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927071836",
            "country_code": "US",
            "telephone_number": "714-953-7538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADEK",
        "first_name": "MENA",
        "middle_name": "ANTER WILLIAM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.