Christine Marie Dakkak, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

40782 Issued in CA

Practice address

Raley's Pharmacy #227
1915 Douglas Blvd
Roseville, CA 95661-0000

Phone

(916) 781-7840

Fax

(916) 782-3643

NPI assigned

Nov 14, 2018

Last updated

Nov 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raleys

  • Community/Retail Pharmacy
  • Galt, CA
  • NPI 1174633820
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1558830067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RALEY'S PHARMACY #227",
            "address_2": "1915 DOUGLAS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956610000",
            "telephone_number": "916-781-7840",
            "fax_number": "916-782-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RALEY'S PHARMACY #227",
            "address_2": "1915 DOUGLAS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956610000",
            "telephone_number": "916-781-7840",
            "fax_number": "916-782-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKKAK",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA369530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rahaf Daas
• Madalynn Dabranca, ACNPC-AG
• Sujata Sanu Dahal, MD
• Courtney Daiss
• Daisy Holdings, LLC (Pine Creek Care Center)
• Paul Dalizu, RPH
• Dalla Dental Group Roseville Inc.
• Hailey Alexa Daly
• Edward Dam, PHARMD
• Dame Chiropractic,Inc.

• Pharmacist in Roseville, CA
• Providers in Roseville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.