Healthcare Provider Details

I. General information

NPI: 1679480628
Provider Name (Legal Business Name): JAMILA KIMISHA BECKFORD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

3240 ARDEN WAY
SACRAMENTO CA
95825-2015
US

IV. Provider business mailing address

4519 PIPER WAY
ANTIOCH CA
94531-9437
US

V. Phone/Fax

Practice location:
  • Phone: 916-486-5256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: