Individual provider Active NPI

Abraham Christoffel Du Plessis, PHARMACIST

  • Pharmacist
  • Eureka, CA
National Provider Identifier
1710290747
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62535 Issued in CA
Practice address
411 Harris St
Henderson Centre
Eureka, CA 95503-4416
Phone
(707) 443-8039
Fax
(707) 443-1280
NPI assigned
Jul 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62535 CA Primary

Addresses

Primary practice location

411 Harris St
Henderson Centre
Eureka, CA 95503-4416

Mailing address

4787 Patricia Dr
Lundbar Hills
Eureka, CA 95503-6422
Phone (707) 443-8039

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

LicenseStateTypeSpecialty
62535CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1710290747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4787 PATRICIA DR",
            "address_2": "LUNDBAR HILLS",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955036422",
            "telephone_number": "707-443-8039",
            "fax_number": "707-443-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HARRIS ST",
            "address_2": "HENDERSON CENTRE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034416",
            "telephone_number": "707-443-8039",
            "fax_number": "707-443-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU PLESSIS",
        "first_name": "ABRAHAM",
        "middle_name": "CHRISTOFFEL",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.