Individual provider Active NPI

Yasameen Raad Naji Alsaffar, RPH

  • Pharmacist
  • Roseville, CA
National Provider Identifier
1861197329
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH87569 Issued in CA
Practice address
6169 Crater Lake Dr
Roseville, CA 95678-1972
Phone
(916) 627-6619
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH87569 CA Primary

Addresses

Primary practice location

6169 Crater Lake Dr
Roseville, CA 95678-1972

Mailing address

6169 Crater Lake Dr
Roseville, CA 95678-1972
Phone (916) 627-6619

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH87569CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1861197329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 CRATER LAKE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781972",
            "telephone_number": "916-627-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 CRATER LAKE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781972",
            "telephone_number": "916-627-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSAFFAR",
        "first_name": "YASAMEEN",
        "middle_name": "RAAD NAJI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH87569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.