Nader E Abadier, RPH

Individual provider Active NPI Pharmacist · Fontana, CA

NPI 1326255647 · NPPES record last updated Apr 2, 2023

Key facts

NPI
1326255647
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
56729 (CA)
Practice address
16701 Valley Blvd Ste E
Fontana, CA 92335-6696
Phone
(909) 823-2515
Fax
(909) 823-2514
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

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.

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

LicenseStateTypeSpecialty
56729CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St Mina Inc Current
since Apr 9, 2023
Accepting new patients
St Mina Inc Current
since Apr 9, 2023
Accepting new patients

Locations

16701 Valley Blvd
Ste E
Fontana, CA 92335
Phone (909) 352-3200

8110 Mango Ave
Ste 105
Fontana, CA 92335
Phone (909) 350-3200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56729 CA Yes

Addresses

Primary practice location

16701 Valley Blvd Ste E
Fontana, CA 92335-6696

Mailing address

7643 Cabrillo Way
Eastvale, CA 92880-0923
Phone (909) 350-3200

Other practice location 1

8110 Mango Ave Ste 105
Fontana, CA 92335-3603
Phone (909) 350-3200

Other identifiers

IdentifierTypeStateIssuer
1447534573OtherCAST MINA PHARMACY

Other providers in Fontana, CA

All providers in Fontana, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.