Active NPI
Vinu Abraham
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1366072969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453972
- Practice address
- 6515 Castor Ave
Philadelphia, PA 19149-2792 - Phone
- (215) 535-2800
- NPI assigned
- Jan 22, 2020
- Sex
- Male
- Sole proprietor
- No
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 | RP453972 | PA | Primary |
Addresses
Primary practice location
6515 Castor Ave
Philadelphia, PA 19149-2792
Mailing address
2736 Welsh Rd
Philadelphia, PA 19152-1525
Phone (215) 847-9330
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 |
|---|---|---|---|
| RP453972 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1366072969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 WELSH RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191521525",
"telephone_number": "215-847-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6515 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492792",
"telephone_number": "215-535-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "VINU",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.