Active NPI
Shahad Isam a Attar
- Pharmacist
- El Cajon, CA
National Provider Identifier
1417600594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85702
- Practice address
- 599 Chambers St Apt C
El Cajon, CA 92020-3243 - Phone
- (619) 569-0543
- NPI assigned
- Jan 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85702 | CA | Primary |
Addresses
Primary practice location
599 Chambers St Apt C
El Cajon, CA 92020-3243
Mailing address
4029 43Rd St
San Diego, CA 92105-1510
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85702 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643500800000",
"number": "1417600594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4029 43RD ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 CHAMBERS ST APT C",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203243",
"telephone_number": "619-569-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTAR",
"first_name": "SHAHAD",
"middle_name": "ISAM A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-30",
"last_updated": "2022-01-30",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.