Organization Active NPI

Sarhaddi Pharmaceutical Inc

  • Pharmacy
  • Fairfield, CA
National Provider Identifier
1437432234
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50683 Issued in CA
Legal business name
SARHADDI PHARMACEUTICAL INC
Doing business as
Gateway Pharmacy
Practice address
1330 Gateway Blvd Ste B2
Fairfield, CA 94533-6915
Phone
(707) 442-0500
Fax
(707) 442-0555
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Ali Sarhaddi, PHARM.D
Title
Director
Phone
(510) 604-8287

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50683 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1330 Gateway Blvd Ste B2
Fairfield, CA 94533-6915

Mailing address

1330 Gateway Blvd
Suite B-2
Fairfield, CA 94533-6915
Phone (707) 442-0500

Other identifiers 1

IdentifierTypeStateIssuer
2132037OtherPK

Other names 1

  • Gateway Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120420000405 CA DME Supplier - Pharmacy 0143481945 Practice locations: Fairfield, CA
O20190624001734 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0143481945 Practice locations: Fairfield, CA

National Provider Directory

National Provider Directory
Tax ID family
Gateway Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1437432234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 GATEWAY BLVD",
            "address_2": "SUITE B-2",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336915",
            "telephone_number": "707-442-0500",
            "fax_number": "707-442-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 GATEWAY BLVD STE B2",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336915",
            "telephone_number": "707-442-0500",
            "fax_number": "707-442-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARHADDI PHARMACEUTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "SARHADDI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-604-8287",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "50683",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATEWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.