MEDICARE: ABORN PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY43166	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2002316	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053346890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABORN PHARMACY

Provider Business Mailing Address
First Line	:	2060 ABORN RD
Second Line	:	STE 150B
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1584
Country	:	US
Telephone Number	:	408-531-1899
Fax Number	:	408-238-3978

Provider Business Practice Location Address
First Line	:	2060 ABORN RD
Second Line	:	STE 150B
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1584
Country	:	US
Telephone Number	:	408-531-1899
Fax Number	:	408-238-3978

Authorized Official
Title or Position	:	MANG CO-OWNER
Name	:	LUONG DO
Credential	:
Telephone Number	:	408-644-7158

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/19/2025

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Directions to “ABORN PHARMACY ” Practice Location

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