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Fatemeh A Tavakkoly

Pharmacist in Campbell, CA. Individual provider (NPI-1).

NPI number1962064840
StatusActive
Last updated in NPPESJul 1, 2019

Details

NPI
1962064840
Entity type
Individual (NPI-1)
Name
Fatemeh A Tavakkoly
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 1, 2019
Last updated
Jul 1, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist60517CAYes

Practice location

1720 S Bascom Ave
Campbell, CA 95008-0608

Phone 408-371-7191

Mailing address

15800 Shannon Rd
Los Gatos, CA 95032-5724

Other practice locations

821 The Alameda
San Jose, CA 95126-3156

Phone 408-291-4553

821 The Alameda
San Jose, CA 95126-3156

Phone 408-921-4553

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Campbell, CA

All 28 Pharmacist providers in Campbell · All 2,130 providers in Campbell

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