Ethan Jonathan Abes, PHARMD
Individual provider Active NPI Pharmacist · Fresno, CA
NPI 1326831017 · NPPES record last updated May 26, 2025
Key facts
- NPI
- 1326831017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 90902 (CA)
- Practice address
- 740 W Alluvial Ave Ste 101
Fresno, CA 93711-5509 - Phone
- (559) 432-9800
- NPI assigned
- May 26, 2025
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90902 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 90902 | CA | Yes |
Addresses
Primary practice location
740 W Alluvial Ave Ste 101
Fresno, CA 93711-5509
Mailing address
740 W Alluvial Ave Ste 101
Fresno, CA 93711-5509
Phone (559) 432-9800
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2025. 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.