Active NPI
Nicole Abarca
- Pharmacist
- East Stroudsburg, PA
National Provider Identifier
1801634662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30165598
- Practice address
- 695 N Courtland St
East Stroudsburg, PA 18301-1313 - Phone
- (570) 424-8065
- NPI assigned
- Jul 16, 2024
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 30165598 | PA | Primary |
Addresses
Primary practice location
695 N Courtland St
East Stroudsburg, PA 18301-1313
Mailing address
1132 Woodland Dr
East Stroudsburg, PA 18301-7158
Phone (570) 236-3391
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 |
|---|---|---|---|
| 30165598 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets 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, 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": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1801634662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 WOODLAND DR",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183017158",
"telephone_number": "570-236-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 N COURTLAND ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183011313",
"telephone_number": "570-424-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABARCA",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "30165598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.