Active NPI
Brighton Abebe, PHARMD
- Pharmacist
- Laurel, MS
National Provider Identifier
1225926322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-15957
- Practice address
- 501 N 16TH Ave
Laurel, MS 39440-3852 - Phone
- (601) 428-0408
- NPI assigned
- Jun 26, 2025
- Last updated
- Jun 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T-15957 | MS | Primary |
Addresses
Primary practice location
501 N 16TH Ave
Laurel, MS 39440-3852
Mailing address
4501 Highway 39 N Apt 14B
Meridian, MS 39301-1076
Phone (601) 428-0408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-15957 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Mississippi CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1225926322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 HIGHWAY 39 N APT 14B",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393011076",
"telephone_number": "601-428-0408",
"fax_number": "601-428-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 16TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394403852",
"telephone_number": "601-428-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEBE",
"first_name": "BRIGHTON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-15957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.