Active NPI
Amena Abdo
- Pharmacist
- Redlands, CA
National Provider Identifier
1306433206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82459
- Practice address
- 1795 E Lugonia Ave
Redlands, CA 92374-2723 - Phone
- (909) 794-1721
- NPI assigned
- Dec 25, 2020
- Last updated
- Dec 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82459 | CA | Primary |
Addresses
Primary practice location
1795 E Lugonia Ave
Redlands, CA 92374-2723
Mailing address
1795 E Lugonia Ave
Redlands, CA 92374-2723
Phone (909) 794-1721
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82459 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608854400000",
"number": "1306433206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 E LUGONIA AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742723",
"telephone_number": "909-794-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 E LUGONIA AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742723",
"telephone_number": "909-794-1721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDO",
"first_name": "AMENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-25",
"last_updated": "2020-12-25",
"certification_date": "2020-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
- A Caringtouch Care Services, Inc (A Caringtouch Senior Services)
- A New Horizon Bilingual Family Therapy, Inc
- A V Associates a California Limited Partnership
- Aaa Medical Consultation Services
- Nkeiruka Ihunna Maureen Abanobi, NP
- Norane Abdo
- Felecia Kathreen Abel, PSYCHIATRIC TECH
- Michael Darren Abesamis
- Above the Clouds Professional Clinical Counselors, Inc
- Jenna Abrassart, MPH, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.