IndividualActive
Bassam Azzam, BS PHARMACY
NPI 1114466653 · Pharmacist · Wildomar, CA
Bassam Azzam, BS PHARMACY is a Pharmacist provider in Wildomar, CA (NPI 1114466653).
Provider details
- NPI number
- 1114466653
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- BS PHARMACY
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32815 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
36450 Inland Valley Dr
Wildomar, CA 92595
Phone: (951) 600-3322
Fax: (951) 600-3370
Street-level locationGet directions
Mailing address
36450 Inland Valley Dr
Wildomar, CA 92595-9583
Registry dates
- Enumerated
- 2017-02-16
- Last updated
- 2017-02-16
Frequently asked questions
- What is Bassam Azzam's NPI number?
- Bassam Azzam's National Provider Identifier (NPI) is 1114466653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bassam Azzam's specialty?
- Bassam Azzam is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Bassam Azzam located?
- Bassam Azzam's practice location on file with NPPES is 36450 Inland Valley Dr, Wildomar, CA 92595.
- What is Bassam Azzam's phone number?
- The practice phone number listed in the NPPES registry for Bassam Azzam is (951) 600-3322.
- Is Bassam Azzam's NPI active?
- Yes — Bassam Azzam's NPI (1114466653) is active in the NPPES registry as of the last update on 2017-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.