Neha Susan Abraham
Individual provider Active NPI Pharmacist · Hayward, CA
NPI 1699375279 · NPPES record last updated Jan 13, 2023
Key facts
- NPI
- 1699375279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18314 (OK)
- Practice address
- 1138 W Tennyson Rd
Hayward, CA 94544-4422 - Phone
- (510) 293-9031
- NPI assigned
- Oct 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86908 | CA | MD | Pharmacist |
| 18314 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past |
Accepting new patients | |
| Wal-Mart Stores East LP | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86908 | CA | |
| Pharmacist | 183500000X | 18314 | OK | Yes |
Addresses
Primary practice location
1138 W Tennyson Rd
Hayward, CA 94544-4422
Mailing address
1170 Beethoven CMN Unit 300
Fremont, CA 94538-5613
Phone (405) 226-1389
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2023. 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.