CMS-1500 Box 24J / 33a • NPI
1083240048
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
3336C0002X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Clinic Pharmacy
Box 32 Service Location & ZIP+4
3240 BECK RD, LOMPOC, CA, 93436-8301
✓ 9-Digit EDI 837 ZIP+4 (93436-8301)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083240048 (MICHAEL ANTHONY ABRAM, PharmD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083240048 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL ANTHONY ABRAM, PharmD |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Clinic Pharmacy NUCC Code: 3336C0002X (Pharmacy, Clinic Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3240 BECK RD, LOMPOC, CA, 93436-8301 |
| Practice Telephone / Fax | Tel: (805) 570-7143 |
| Administrative Mailing Address | 1071 FAIR OAKS AVE, ARROYO GRANDE, CA, 93420-3822 |
| Enumeration & Last Sync | Enumerated: 2020-03-20 | CMS Record Updated: 2020-03-20 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (3336C0002X)
What Does Taxonomy Code 3336C0002X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0002X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Clinic Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL ANTHONY ABRAM, PharmD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
3336C0003X — Pharmacy, Community/Retail PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy | State: CA | License: 64451 | Primary: Secondary |
3336L0003X — Pharmacy, Long Term Care PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy | State: N/A | License: 64451 | Primary: Secondary |
3336C0002X — Pharmacy, Clinic PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Clinic Pharmacy | State: CA | License: 64451 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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