Healthcare Provider Details

I. General information

NPI: 1083203087
Provider Name (Legal Business Name): FARIDA MOSSAAD PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: FARIDA AMR MOSSAAD-AHMED

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 E HILLSDALE BLVD
FOSTER CITY CA
94404-2112
US

IV. Provider business mailing address

640 TURNBUCKLE DR UNIT 1606
REDWOOD CITY CA
94063-5614
US

V. Phone/Fax

Practice location:
  • Phone: 650-570-4693
  • Fax:
Mailing address:
  • Phone: 949-975-9258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number83308
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: