CREEKSIDE PHARMACY
NPI 1497814594
Pharmacy - Community/Retail Pharmacy in Santa Rosa, CA

Q: What is Jafa Pharmaceuticals, Inc.'s NPI number?

The NPI number for Jafa Pharmaceuticals, Inc. is 1497814594. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Creekside Pharmacy.

Q: What is Jafa Pharmaceuticals, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since December 06, 2006CLIA 05D2162259 · Waiver

95 MONTGOMERY DR, SANTA ROSA, CA 95404(707) 525-1130(707) 525-8099 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2024, Jun 15, 2018, Jun 22, 2017 (3 updates tracked since 2017).

On this page

About Creekside Pharmacy NPPES

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

CREEKSIDE PHARMACY (NPI 1497814594) is a healthcare organization registered as a community/retail pharmacy in Santa Rosa, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Tony Ibrahim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497814594

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameJAFA PHARMACEUTICALS, INC.

Location Address95 MONTGOMERY DRSanta Rosa, CA 95404

Mailing Address95 Montgomery Dr, Suite 108Santa Rosa, CA 95404-6630 · (707) 525-1130 · Fax (707) 525-8099

Phone(707) 525-1130

Fax(707) 525-8099

Organization SubpartNo

Authorized OfficialTony IbrahimCeo · (760) 987-6796

Enumeration DateDecember 6, 2006

Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration

NPPES CertifiedNovember 8, 2024

✔ NPI 1497814594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY55615

Definition

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.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

95 MONTGOMERY DR, Santa Rosa, CA 95404

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Other Names 1

Doing Business AsCreekside Pharmacy

Other Identifiers 1

Other2126477Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2162259

Creekside Pharmacy · Santa Rosa, CA

Active · expires Feb 19, 2027

CLIA Number05D2162259

Laboratory TypePharmacy

Certificate Effective DateFebruary 20, 2025

Certificate Expiration DateFebruary 19, 2027

Laboratory DirectorBao Ly

Laboratory Phone(707) 525-1130

Laboratory LocationCreekside Pharmacy95 Montgomery Dr, Ste 108, Santa Rosa, CA 95404

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

LAURIE B. STOLMAKER MFT

Marriage & Family Therapist

95 MONTGOMERY DR, STE 202
SANTA ROSA, CA 95404

Sonoma County (707) 523-2033

DR. HIKO RUO DMD

Dentist (General Practice)

95 MONTGOMERY DR, SUITE 212
SANTA ROSA, CA 95404

Sonoma County (707) 528-3412

FLOURISH PHYSICAL THERAPY, INC

Physical Therapist (Orthopedic)

95 MONTGOMERY DR, SUITE 90
SANTA ROSA, CA 95404

Sonoma County (707) 968-7378

MR. GREGORY BLAKE APOSTLE

Dentist (Pediatric Dentistry)

95 MONTGOMERY DR, #210
SANTA ROSA, CA 95404

Sonoma County (707) 542-4746

DR. ROBERT ADAM SCHULMAN MD

Physical Medicine & Rehabilitation

95 MONTGOMERY DR, STE 120
SANTA ROSA, CA 95404

Sonoma County (415) 893-8399

CHIROPRACTIC NEUROLOGY ENHANCEMENT CENTER

Chiropractor (Neurology)

95 MONTGOMERY DR, SUITE 118
SANTA ROSA, CA 95404

Sonoma County (707) 228-8405

DR. VICTORIA JANE LYNSKEY D.M.D., M.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

95 MONTGOMERY DR, SUITE 220
SANTA ROSA, CA 95404

Sonoma County (707) 525-1180

MAKHA PHETPHOMMASOUK

Acupuncturist

95 MONTGOMERY DR, 126
SANTA ROSA, CA 95404

Sonoma County (707) 861-0625

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 Jafa Pharmaceuticals, Inc.'s NPI number?

The NPI number for Jafa Pharmaceuticals, Inc. is 1497814594. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Creekside Pharmacy.

Where is Jafa Pharmaceuticals, Inc. located?

Jafa Pharmaceuticals, Inc. is located at 95 Montgomery Dr, Santa Rosa, CA 95404. The listed phone number is (707) 525-1130.

What is Jafa Pharmaceuticals, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Jafa Pharmaceuticals, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2162259) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jafa Pharmaceuticals, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Jafa Pharmaceuticals, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jafa Pharmaceuticals, Inc. was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.