Active NPI
Lina Jadid, PHARMD
- Compounded Sterile Preparations Pharmacist
- Petaluma, CA
National Provider Identifier
1659107365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- License
- 82167
- Practice address
- 400 N McDowell Blvd
Petaluma, CA 94954-2339 - Phone
- (707) 778-2580
- NPI assigned
- Sep 10, 2024
- Last updated
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 82167 | CA | Primary |
Addresses
Primary practice location
400 N McDowell Blvd
Petaluma, CA 94954-2339
Mailing address
71 Redhead St
American Canyon, CA 94503-1379
Phone (510) 303-8630
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1659107365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 REDHEAD ST",
"city": "AMERICAN CANYON",
"state": "CA",
"postal_code": "945031379",
"telephone_number": "510-303-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542339",
"telephone_number": "707-778-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JADID",
"first_name": "LINA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "CA",
"license": "82167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.