Saladin Abu Sada, RPH

Individual provider Active NPI Pharmacist · Westhampton Beach, NY

NPI 1568059244 · NPPES record last updated Dec 28, 2020

Key facts

NPI
1568059244
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
066342 (NY)
Practice address
87 Sunset Ave
Westhampton Beach, NY 11978-2324
Phone
(631) 288-1897
NPI assigned
Dec 28, 2020
Sex
Male
Sole proprietor
Yes

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
066342NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC Past
since Jan 3, 2021
Accepting new patients
CVS Albany LLC Past
since Jan 3, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 066342 NY Yes

Addresses

Primary practice location

87 Sunset Ave
Westhampton Beach, NY 11978-2324

Mailing address

87 Sunset Ave
Westhampton Beach, NY 11978-2324
Phone (631) 288-1897

Other providers in Westhampton Beach, NY

All providers in Westhampton Beach, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.