Alireza Aliabadi, PHARM D
Individual provider Active NPI Pharmacist · Lemoore, CA
NPI 1831662675 · NPPES record last updated Apr 22, 2022
Key facts
- NPI
- 1831662675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S023611 (AZ)
- Practice address
- 937 Franklin Blvd
Lemoore, CA 93246-4700 - Phone
- (559) 998-4299
- NPI assigned
- Jan 4, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023611 | AZ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S023611 | AZ | Yes |
Addresses
Primary practice location
937 Franklin Blvd
Lemoore, CA 93246-4700
Mailing address
6020 Via Madrid
Granite Bay, CA 95746-5801
Phone (530) 400-0877
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831662675 | Other | TRICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Genesis |
Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.