Yasir Banah, PHARMD

Individual provider Active NPI Pharmacist · El Dorado Hills, CA

NPI 1477036036 · NPPES record last updated Sep 10, 2018

Key facts

NPI
1477036036
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
74137 (CA)
Practice address
8230 Saratoga Way
El Dorado Hills, CA 95762-4581
Phone
(916) 939-6439
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past
since Apr 10, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74137 CA Yes

Addresses

Primary practice location

8230 Saratoga Way
El Dorado Hills, CA 95762-4581

Mailing address

8230 Saratoga Way
El Dorado Hills, CA 95762-4581
Phone (916) 939-6439

Other providers in El Dorado Hills, CA

All providers in El Dorado Hills, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.