Theresa Abatayo, PHARMD
Individual provider Active NPI Pharmacist · Vallejo, CA
NPI 1750845913 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1750845913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 72542 (CA)
- Practice address
- 525 Oregon St
Vallejo, CA 94590-3201 - Phone
- (707) 648-2200
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72542 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 72542 | CA | Yes |
Addresses
Primary practice location
525 Oregon St
Vallejo, CA 94590-3201
Mailing address
300 Cogburn Circle
Vacaville, CA 95687
Phone (925) 470-0406
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. 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.