Sam Sazegar, PHARM D

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

82317 Issued in CA

Practice address

787 L St
Crescent City, CA 95531-2822

Phone

(707) 464-3857

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co.

  • Pharmacy
  • Crescent City, CA
  • NPI 1922256981
  NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1821600958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 W HORIZON RIDGE PKWY APT 3323",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525768",
            "telephone_number": "310-985-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 L ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312822",
            "telephone_number": "707-464-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAZEGAR",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "82317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lazell Marie Sanders
• Duane A Sands
• Linda Sanford, M.A.
• Peter C Sayer, PSY.D.
• Michael Clifton Sayre, M.D.
• Kendra Scanlon, LCSW
• Angela Lynn Schaefer
• Kamilia Ann Schnacker
• Alyssa Schroeder, OTR/L
• Lora Kathleen Schultz, LCSW

• Pharmacotherapy Pharmacist in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Pharmacotherapy Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.