Michael Jean Olivier Agbassi, PHARM D
Individual provider Active NPI Pharmacist · La Jolla, CA
NPI 1225751910 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1225751910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 80700 (CA)
- Practice address
- 8831 Villa la Jolla Dr
La Jolla, CA 92037-1949 - Phone
- (858) 457-4480
- NPI assigned
- Sep 19, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80700 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 80700 | CA | Yes |
Addresses
Primary practice location
8831 Villa la Jolla Dr
La Jolla, CA 92037-1949
Mailing address
320 Alamo Way
Oceanside, CA 92057-6515
Phone (617) 642-8310
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.