Individual provider Active NPI

Bassam Massaad, RPH

  • Pharmacist
  • El Cajon, CA
National Provider Identifier
1558440503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
46798 Issued in CA
Practice address
505 N Mollison Ave Ste 101a
El Cajon, CA 92021-6159
Phone
(619) 441-1188
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 46798 CA Primary

Addresses

Primary practice location

505 N Mollison Ave Ste 101a
El Cajon, CA 92021-6159

Mailing address

2401 Soledad CT
La Jolla, CA 92037-7041

Other identifiers 1

IdentifierTypeStateIssuer
46798OtherCAPHARMACIST LICENSE NUMBER

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
46798CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Drugs Inc Current Accepting new patients
Mass Drugs Inc CurrentSince Oct 20, 2024 Accepting new patients

Locations

505 N Mollison Ave
Ste 101A
El Cajon, CA 92021
Phone (619) 441-1188

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558440503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SOLEDAD CT",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MOLLISON AVE STE 101A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920216159",
            "telephone_number": "619-441-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAAD",
        "first_name": "BASSAM",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "46798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "46798",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; 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.