Active NPI
Joseph E. Abraham, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Santa Maria, CA
National Provider Identifier
1285705608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- APH10731
- Practice address
- 1450 W McCoy LN Ste B
Santa Maria, CA 93455-1059 - Phone
- (805) 748-4440
- Fax
- (805) 928-6200
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH40844 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | APH10731 | CA | Primary |
Addresses
Primary practice location
1450 W McCoy LN Ste B
Santa Maria, CA 93455-1059
Mailing address
5865 Quail CT
Santa Maria, CA 93455-6034
Phone (805) 748-4440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10731 | Other | CA | BOARD OF PHARMACY |
| RPH40844 | Other | CA | BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH40844 | CA | MD | Pharmacist |
| APH10731 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Tree Pharmacy Services Incorporated | Current | Accepting new patients | |
| Hometown LTC Pharmacy Inc | Past | Accepting new patients |
Locations
1450 W McCoy Ln
Ste B
Santa Maria, CA 93455
Phone (805) 748-4440
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Santa Maria, CA
- NPI 1598108847
-
- Long Term Care Pharmacy
- Santa Maria, CA
- NPI 1538975909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285705608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5865 QUAIL CT",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934556034",
"telephone_number": "805-748-4440",
"fax_number": "805-310-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 W MCCOY LN STE B",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934551059",
"telephone_number": "805-748-4440",
"fax_number": "805-928-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "JOSEPH",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2023-03-07",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH40844",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "APH10731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "10731",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "RPH40844",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.