Individual provider Active NPI

Mariam Abolhassani, PHARMACIST

  • Pharmacist
  • Trabuco Canyon, CA
National Provider Identifier
1508201567
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51459 Issued in CA
Practice address
31731 Capuchina Way
Trabuco Canyon, CA 92679-3615
Phone
(949) 636-5306
NPI assigned
May 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51459 CA Primary

Addresses

Primary practice location

31731 Capuchina Way
Trabuco Canyon, CA 92679-3615

Mailing address

31731 Capuchina Way
Trabuco Canyon, CA 92679-3615
Phone (949) 636-5306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

31731 Capuchina Way
Trabuco Canyon, CA 92679-3615
Phone (949) 636-5306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MTM Pharmacist Solutions, Inc Pharmacist CurrentSince Sep 23, 2025 Accepting new patients

Organizations & group practices 1

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": "1367712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1508201567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31731 CAPUCHINA WAY",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793615",
            "telephone_number": "949-636-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31731 CAPUCHINA WAY",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793615",
            "telephone_number": "949-636-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOLHASSANI",
        "first_name": "MARIAM",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-05",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trabuco Canyon, CA

Sources for this page

Verify at the official NPI Registry.