Jacquline Elza Abraham, PHARM D
Individual provider Active NPI Pharmacist · Tampa, FL
NPI 1104786946 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1104786946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS65517 (FL)
- Practice address
- 4620 N 22ND St
Tampa, FL 33610-6205 - Phone
- (813) 272-6240
- Fax
- (813) 272-6241
- NPI assigned
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS65517 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS65517 | FL | Yes |
Addresses
Primary practice location
4620 N 22ND St
Tampa, FL 33610-6205
Mailing address
4620 N 22ND St
Tampa, FL 33610-6205
Phone (813) 272-6240
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. 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.