JAFA PHARMACEUTICALS, INC. (NPI# 1497814594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497814594 |
| Entity Type | Organization |
| Organization Name | JAFA PHARMACEUTICALS, INC. |
| Other Organization Name | CREEKSIDE PHARMACY |
| Practice Address |
95 Montgomery Dr Santa Rosa CA 95404 |
| Mailing Address |
95 Montgomery Dr Suite 108 Santa Rosa CA 95404-6630 |
| Practice Telephone | 7075251130 |
| Practice Fax Number | 7075258099 |
| Mailing Telephone | 7075251130 |
| Mailing Fax Number | 7075258099 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | TONY IBRAHIM (CEO) |
| Authorized Official Telephone | 7609876796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY55615 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126477 | 01 |
| Other Name | Type Code |
|---|---|
| Creekside Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| Street Address |
95 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374643 | Harry Francis Albers | Dentist | 95 Montgomery Dr, Ste 106, Santa Rosa, CA 95404-6617 | 2005-05-23 |
| 1639665524 | Dolores Edwinson | Marriage & Family Therapist | 95 Montgomery Dr, Santa Rosa, CA 95404-6630 | 2018-07-03 |
| 1346782646 | Makha Phetphommasouk | Acupuncturist | 95 Montgomery Dr, 126, Santa Rosa, CA 95404-6630 | 2016-11-17 |
| 1184029308 | Chiropractic Neurology Enhancement Center | Chiropractor | 95 Montgomery Dr, Suite 118, Santa Rosa, CA 95404-6630 | 2014-10-30 |
| 1063858470 | Flourish Physical Therapy, Inc | Physical Therapist | 95 Montgomery Dr, Suite 90, Santa Rosa, CA 95404-6630 | 2013-05-13 |
| 1518235340 | Rashidi Medical Corporation | Specialist | 95 Montgomery Dr, Suite 118, Santa Rosa, CA 95404-6617 | 2011-12-07 |
| 1679851448 | Northern California Medical Assoc Inc | Internal Medicine | 95 Montgomery Dr, Ste 120, Santa Rosa, CA 95404-6617 | 2011-07-28 |
| 1003141201 | Laurie B. Stolmaker | Marriage & Family Therapist | 95 Montgomery Dr, Ste 202, Santa Rosa, CA 95404-6629 | 2009-10-06 |
| 1689848236 | Rosemary Brock | Marriage & Family Therapist | 95 Montgomery Dr, Suite 204, Santa Rosa, CA 95404-6630 | 2008-04-15 |
| 1811196322 | Lauren Spieler | Family Medicine | 95 Montgomery Dr, Suite 120, Santa Rosa, CA 95404-6630 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873124 | Marin Apothecaries Inc | Pharmacy | 3569a Round Barn Cir, Santa Rosa, CA 95403-1757 | 2019-10-23 |
| 1770999708 | Marin Apothecaries Inc | Pharmacy | 1300 N Dutton Ave Ste 100, Santa Rosa, CA 95401-7112 | 2014-07-10 |
| 1871638767 | Save Mart Supermarkets | Pharmacy | 915 Montgomery Village Ct, Santa Rosa, CA 95405 | 2007-02-20 |
| 1114037728 | Costco Wholesale Corporation | Pharmacy | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2006-08-30 |
| 1619911062 | Longs Drug Stores California LLC | Pharmacy | 2771 4th St, Santa Rosa, CA 95405-4726 | 2006-06-16 |
| 1649212457 | Longs Drug Stores California LLC | Pharmacy | 2700 Yulupa Ave, Santa Rosa, CA 95405-8577 | 2006-06-13 |
| 1659313468 | Longs Drug Stores California LLC | Pharmacy | 463 Stony Point Rd, Santa Rosa, CA 95401-5900 | 2006-06-13 |
| 1093153850 | Guadalupe County | Pharmacy | 117 Camino De Vida, 200, Santa Rosa, NM 88435-2267 | 2013-06-13 |
| 1285782011 | Kaiser Foundation Health Plan Inc | Pharmacy | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-01-08 |
| 1568572220 | Raleys | Pharmacy | 1407 Fulton Rd, Santa Rosa, CA 95403-1809 | 2006-08-30 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.