Active NPI
Sara Mahmoud, PHARMD, BCCCP
- Pharmacist
- Stockton, CA
National Provider Identifier
1891522249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89507
- Practice address
- 751 Brookside Road
Stockton, CA 95211-0001 - Phone
- (209) 946-3144
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 89507 | CA | Primary |
Addresses
Primary practice location
751 Brookside Road
Stockton, CA 95211-0001
Mailing address
751 Brookside Road
Stockton, CA 95211-0001
Phone (209) 946-3144
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89507 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1891522249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 BROOKSIDE ROAD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952110001",
"telephone_number": "209-946-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 BROOKSIDE ROAD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952110001",
"telephone_number": "209-946-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUD",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "PHARMD, BCCCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.