Morad Batarseh, R.PH
Individual provider Active NPI Pharmacist · Ridgecrest, CA
NPI 1487974465 · NPPES record last updated Jun 2, 2010
Key facts
- NPI
- 1487974465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 63400 (CA)
- Practice address
- 421 Lorene CT
Ridgecrest, CA 93555-6002 - Phone
- (760) 301-4159
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63400 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63400 | CA | Yes |
Addresses
Primary practice location
421 Lorene CT
Ridgecrest, CA 93555-6002
Mailing address
9482 California City Blvd
California City, CA 93505-2803
Phone (760) 373-5268
Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2010. 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.