Active NPI
Heba Chakoukani Jubran, PHARMD
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1619620887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH83750
- Practice address
- 13831 Brookhurst St
Garden Grove, CA 92843-3120 - Phone
- (714) 726-8332
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH83750 | CA | Primary |
Addresses
Primary practice location
13831 Brookhurst St
Garden Grove, CA 92843-3120
Mailing address
1801 E Katella Ave Apt 4055
Anaheim, CA 92805-6668
Phone (714) 726-8332
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH83750 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670025600000",
"number": "1619620887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 E KATELLA AVE APT 4055",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056668",
"telephone_number": "714-726-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13831 BROOKHURST ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928433120",
"telephone_number": "714-726-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKOUKANI JUBRAN",
"first_name": "HEBA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2022-12-03",
"certification_date": "2022-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH83750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.