BASSAM AZZAM BS PHARMACY
NPI 1114466653
Pharmacist in Wildomar, CA

Active since February 16, 2017
36450 INLAND VALLEY DR, WILDOMAR, CA 92595(951) 600-3322(951) 600-3370 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bassam Azzam Bs Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASSAM AZZAM BS PHARMACY (NPI 1114466653) is an individual pharmacist in Wildomar, California, licensed in California (32815) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1114466653
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBASSAM AZZAMCredential: BS PHARMACY
Location Address36450 INLAND VALLEY DRWildomar, CA 92595
Mailing Address36450 Inland Valley DrWildomar, CA 92595-9583 · (951) 600-3322 · Fax (951) 600-3370
Fax(951) 600-3370
Sole ProprietorYes
Enumeration DateFebruary 16, 2017
NPI 1114466653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 32815
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
36450 INLAND VALLEY DR, Wildomar, CA 92595

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Family Medicine (Adult Medicine)
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Internal Medicine
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Family Medicine (Sports Medicine)
36450 INLAND VALLEY DR, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
WILDOMAR, CA 92595
Specialist
36450 INLAND VALLEY DR, SUITE 101
WILDOMAR, CA 92595
Pharmacist
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Internal Medicine
36450 INLAND VALLEY DR
WILDOMAR, CA 92595
Pharmacist
36450 INLAND VALLEY DR, SUITE #209
WILDOMAR, CA 92595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bassam Azzam's NPI number?

The NPI number for Bassam Azzam is 1114466653. It was assigned to this individual provider in the NPPES registry on February 16, 2017.

Where is Bassam Azzam located?

Bassam Azzam practices at 36450 Inland Valley Dr, Wildomar, CA 92595. The listed phone number is (951) 600-3322.

What is Bassam Azzam's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Bassam Azzam was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.