Active NPI
Lwam Abraha
- Pharmacist
- Danville, CA
National Provider Identifier
1669953410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78183
- Practice address
- 611 San Ramon Valley Blvd
Danville, CA 94526-4013 - Phone
- (925) 743-0166
- NPI assigned
- Aug 28, 2018
- Last updated
- Aug 28, 2018
- Sex
- Female
- 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 | 78183 | CA | Primary |
Addresses
Primary practice location
611 San Ramon Valley Blvd
Danville, CA 94526-4013
Mailing address
1101 San Ramon Valley Blvd
Danville, CA 94526-4851
Phone (571) 882-4911
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 |
|---|---|---|---|
| 78183 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1669953410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SAN RAMON VALLEY BLVD",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264851",
"telephone_number": "571-882-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SAN RAMON VALLEY BLVD",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264013",
"telephone_number": "925-743-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHA",
"first_name": "LWAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, CA
- Abbott Chiropractic Corporation
- Bridget Abbott, DC
- Karam Abdou, D.D.S
- Abercrombie Chiropractic Corp (Back to Health Chiropractic)
- Kamelia Abossaba, RDHAP
- Amelia Jane Academia, CMT
- Phyllis Wang Acon, M.D.
- Action in Motion Inc (Action in Motion Pilates Physical Therapy)
- Adam Wallach,M.D. a Professional Corporation
- Jessica Adame, BI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.