Susan Abraham

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS35657 Issued in FL

Practice address

4003 Canter CT
Valrico, FL 33596-8436

Phone

(813) 681-8917

NPI assigned

Oct 2, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2014.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1144623232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 CANTER CT",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968436",
            "telephone_number": "813-681-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 CANTER CT",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968436",
            "telephone_number": "813-681-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35657",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045318",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "RI25753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew F Abdoney, DMD
• Karen Elizabeth Abel, L.M.T.
• Ability Health Services and Rehabilitation LP
• Austin Karathuruthel Abraham, PTA
• Stejo Abraham
• Abu Health Care Inc
• Academic Alliance in Dermatology, Inc
• Acg Support Services, LLC
• Stephanie Nicole Adams, BCBA
• Dawn Addison, ARNP-C

• All providers in Valrico, FL
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.