Active NPI
Shereen Zada
- Pharmacist
- Elk Grove, CA
National Provider Identifier
1760080428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83553
- Practice address
- 9700 W Taron Dr
Elk Grove, CA 95757-8145 - Phone
- (916) 686-7400
- NPI assigned
- Oct 15, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83553 | CA | Primary |
Addresses
Primary practice location
9700 W Taron Dr
Elk Grove, CA 95757-8145
Mailing address
30 Lakeside Dr
Buena Park, CA 90621-1656
Phone (714) 686-3026
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83553 | CA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1760080428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LAKESIDE DR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211656",
"telephone_number": "714-686-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 W TARON DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957578145",
"telephone_number": "916-686-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZADA",
"first_name": "SHEREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.