Jafa Pharmaceuticals, Inc.
NPI 1497814594 · Community/Retail Pharmacy · Santa Rosa, CA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jafa Pharmaceuticals, Inc. is a Community/Retail Pharmacy organization in Santa Rosa, CA (NPI 1497814594).
Provider details
- NPI number
- 1497814594
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tony Ibrahim, Ceo(760) 987-6796
Specialties & taxonomies
Suppliers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Creekside Pharmacy
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2024-11-08
- Certified
- 2024-11-08
Frequently asked questions
- What is Jafa Pharmaceuticals, Inc.'s NPI number?
- Jafa Pharmaceuticals, Inc.'s National Provider Identifier (NPI) is 1497814594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jafa Pharmaceuticals, Inc.?
- Jafa Pharmaceuticals, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jafa Pharmaceuticals, Inc. located?
- Jafa Pharmaceuticals, Inc.'s practice location on file with NPPES is 95 Montgomery Dr, Santa Rosa, CA 95404.
- What is Jafa Pharmaceuticals, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jafa Pharmaceuticals, Inc. is (707) 525-1130.
- Does Jafa Pharmaceuticals, Inc. accept Medicare?
- Jafa Pharmaceuticals, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jafa Pharmaceuticals, Inc.?
- The authorized official listed on Jafa Pharmaceuticals, Inc.'s NPPES record is Tony Ibrahim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jafa Pharmaceuticals, Inc.'s NPI active?
- Yes — Jafa Pharmaceuticals, Inc.'s NPI (1497814594) is active in the NPPES registry as of the last update on 2024-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.