MEDICARE: DR. FADY ZAKKO PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	89215	CA

General Provider Information

NPI Number	:	1003674508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FADY ZAKKO PHARMD

Provider Business Mailing Address
First Line	:	11418 VIA RANCHO SAN DIEGO UNIT 69
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-5232
Country	:	US
Telephone Number	:	619-201-9786
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 PALM AVE
Second Line	:
City	:	IMPERIAL BEACH
State	:	CA
Zip	:	91932-1529
Country	:	US
Telephone Number	:	619-424-8989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/08/2024

Similar Medicare Providers

1013951375 — GARFIELD BEACH CVS LLC
Practice Location Address:

800 PALM AVE
IMPERIAL BEACH, CA
91932-1529

Practice Phone: 619-424-8989
Practice Fax:

1326289737 — SADEEQ KHAN SADIQ, INC.
Practice Location Address:

888 PALM AVE
IMPERIAL BEACH, CA
91932-1529

Practice Phone: 619-423-0100
Practice Fax: 619-423-0120

1245603018 — JASON OH PHARM.D.
Practice Location Address:

800 PALM AVE
IMPERIAL BEACH, CA
91932-1529

Practice Phone: 619-424-8989
Practice Fax: 619-424-9614

1396499927 — DOMINIQUE ENRIQUEZ
Practice Location Address:

800 PALM AVE
IMPERIAL BEACH, CA
91932-1529

Practice Phone: 619-424-8989
Practice Fax:

1730933003 — VERONICA CUEVAS PHARMD
Practice Location Address:

800 PALM AVE
IMPERIAL BEACH, CA
91932-1529

Practice Phone: 619-424-8989
Practice Fax:

1588925689 — MRS. CORINNE ELISABETH SCOTT
Practice Location Address:

814 IMPERIAL WAY
BAYPORT, NY
11705-1529

Practice Phone: 516-769-5026
Practice Fax:

Directions to “ DR. FADY ZAKKO PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.