Individual provider Active NPI

Joseph E. Abraham, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Santa Maria, CA
National Provider Identifier
1285705608
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
APH10731 Issued in CA
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

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10731OtherCABOARD OF PHARMACY
RPH40844OtherCABOARD 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

LicenseStateTypeSpecialty
RPH40844CAMDPharmacist
APH10731CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Tree Pharmacy Services Incorporated CurrentSince Dec 15, 2024 Accepting new patients
Hometown LTC Pharmacy Inc PastSince Feb 14, 2021 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.

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.

Verify at the official NPI Registry.