Sam Haddad

Primary specialty

PharmacistTaxonomy code 183500000X

License

67044 Issued in CA

Practice address

6400 Haven Ave
Alta Loma, CA 91737-3823

Phone

(909) 941-3857

NPI assigned

Jun 2, 2012

Last updated

Jun 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United RX Inc

  • Community/Retail Pharmacy
  • Rancho Cucamonga, CA
  • NPI 1831556059
  NPD (past) Authorized official

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338595200000",
    "number": "1801157292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 HENDERSON WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917849276",
            "telephone_number": "909-565-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 HAVEN AVE",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917373823",
            "telephone_number": "909-941-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-02",
        "last_updated": "2012-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "67044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J. Tao, DDS, Inc.
• Stephanie Andrea Gonzales, B.S.
• Sylvia Graniello
• Michael Martin Grausam
• Ha Jung Kim Dental Corp (Alta Loma Dental Care)
• Hernandez & Buck, a Dental Partnership (Baseline Dental Practice)
• Steven Hernandez, D.D.S.
• Victoria Victorovna Hicks
• Tiffany Monique Horn, FNP
• Horrigan Enterprises, Inc., Kenyon House

• Pharmacist in Alta Loma, CA
• Providers in Alta Loma, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2012; 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.