Abraham V Kalathil, R.PH.
Individual provider Active NPI Pharmacist · Crownpoint, NM
NPI 1235464611 · NPPES record last updated Oct 2, 2009
Key facts
- NPI
- 1235464611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP043893L (PA)
- Practice address
- Junction of State Highway 371 & Navajo Route 9
Crownpoint, NM 87313 - Phone
- (505) 786-6344
- Fax
- (505) 786-2526
- NPI assigned
- Oct 2, 2009
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP043893L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP043893L | PA | Yes |
Addresses
Primary practice location
Junction of State Highway 371 & Navajo Route 9
Crownpoint, NM 87313
Mailing address
Junction of State Highway 371 & Navajo Route 9
P.O. Box 358
Crownpoint, NM 87313
Phone (505) 786-6344
Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2009. 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.