Provider profile · NPI 1336462779

Jacob Thoppilkalathil Abraham, R.Ph

Pharmacist · Waxhaw, NC · NPI 1336462779 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Individual

Primary specialty

Pharmacist

Enumerated

Mar 11, 2010

License(s)

16030 (NC)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION8157 KENSINGTON DR Waxhaw, NC 28173-0103704-243-2034
MAILING3300 MONROE RD STE EF Charlotte, NC 28205-7853800-589-5737

View on NPPES registry ↗

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