Blessy Mary Abraham, DOCTOR OF PHARMACY
Individual provider Active NPI Pharmacist · Merrick, NY
NPI 1104258136 · NPPES record last updated Aug 1, 2013
Key facts
- NPI
- 1104258136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 057730 (NY)
- Practice address
- 1568 Abbot Ave
Merrick, NY 11566-2462 - Phone
- (516) 623-6427
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 057730 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 057730 | NY | Yes |
Addresses
Primary practice location
1568 Abbot Ave
Merrick, NY 11566-2462
Mailing address
1568 Abbot Ave
Merrick, NY 11566-2462
Phone (516) 623-6427
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2013. 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.