Maksida Sabackic, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH79470 Issued in CA

Practice address

19300 S Hamilton Ave Ste 170180
Gardena, CA 90248-4400

Phone

(310) 464-8241

NPI assigned

May 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• AIDS Healthcare Foundation

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1891525184
  NPD (past)
• Pharmacy4Humanity

  • Specialty Pharmacy
  • New York, NY
  • NPI 1841722931
  NPD (past)

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1699399212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363137",
            "telephone_number": "617-697-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 S HAMILTON AVE STE 170180",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484400",
            "telephone_number": "310-464-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABACKIC",
        "first_name": "MAKSIDA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "20486",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH79470",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH236088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa R. Rynearson, PT, DPT
• S. Yousefi Dental Corporation
• Kristin Darlene Saad, FNP
• Magdolin M. Saadalla
• Maria E Saavedra
• Sabath & Associates
• Sabath & Associates
• Cliff Sabath, PH.D.
• Sharon Anne Bulos Sadaya
• Calvin Saelee

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.