Charles Keola Abellana
Individual provider Active NPI Pharmacy Technician · Pacifica, CA
NPI 1871294850 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1871294850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- TCH186885 (CA)
- Practice address
- 200 Fairmont Shopping Ctr
Pacifica, CA 94044-1240 - Phone
- (650) 355-5810
- Fax
- (650) 355-5882
- NPI assigned
- Mar 15, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| TCH186885 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past |
Accepting new patients | |
| Thrifty Payless Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TCH186885 | CA | Yes |
Addresses
Primary practice location
200 Fairmont Shopping Ctr
Pacifica, CA 94044-1240
Mailing address
200 Fairmont Shopping Ctr
Pacifica, CA 94044-1240
Phone (650) 355-5810
Other providers in Pacifica, CA
- A Plus Transit, Inc.
- Aable Medical
- Winnisther-John Madrigal Acosta
- Ahani and Vafi Dental Group Inc
- Hessam Ahani
- Rami Al-Khatib
- Judith Lucia Ignacio Albano
All providers in Pacifica, CA · Pharmacy Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 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.