MEDICARE: PROFESSIONAL PHARMACIES, INC

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	333600000X	Pharmacy	PHY465150	CA
2	3336C0003X	Community/Retail Pharmacy		CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	AR821	OTHER		MEDICARE MASS IMUNIZATION #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0570071	OTHER	CA	NCPDP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942202031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL PHARMACIES, INC

Provider Business Mailing Address
First Line	:	300 WASHINGTON ST
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94952-2915
Country	:	US
Telephone Number	:	707-778-6363
Fax Number	:	707-778-8953

Provider Business Practice Location Address
First Line	:	300 WASHINGTON ST
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94952-2915
Country	:	US
Telephone Number	:	707-778-6363
Fax Number	:	707-778-8953

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMIL F HARB
Credential	:	RPH
Telephone Number	:	707-778-6363

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1578427324 — MELISSA C UMEMOTO-SNYDER
Practice Location Address:

5001 SPRING HILL RD
PETALUMA, CA
94952-4634

Practice Phone: 707-762-6617
Practice Fax:

1972467223 — TYLER JAMES REYNOLDS IDHS
Practice Location Address:

599 TOMALES RD
PETALUMA, CA
94952-5002

Practice Phone: 707-765-7200
Practice Fax:

1093718454 — MR. ROBERT O BUTLER LCSW
Practice Location Address:

40 4TH ST STE 224
PETALUMA, CA
94952-3040

Practice Phone: 707-241-3003
Practice Fax:

1720087661 — CITY OF PETALUMA AMBULANCE SERVICE
Practice Location Address:

198 D ST
PETALUMA, CA
94952-3028

Practice Phone: 707-778-4364
Practice Fax:

1659372365 — DR. KAREN ANN GRIFFITH OD
Practice Location Address:

320 PETALUMA BLVD S
PETALUMA, CA
94952-4245

Practice Phone: 707-762-8643
Practice Fax: 707-762-3554

1417949942 — GORDON MILES WONG OD
Practice Location Address:

66 E WASHINGTON ST
PETALUMA, CA
94952-3165

Practice Phone: 707-778-1048
Practice Fax: 707-778-0113

Directions to “PROFESSIONAL PHARMACIES, INC ” 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.