Brighton Abebe, PHARMD
Individual provider Active NPI Pharmacist · Laurel, MS
NPI 1225926322 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1225926322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- T-15957 (MS)
- Practice address
- 501 N 16TH Ave
Laurel, MS 39440-3852 - Phone
- (601) 428-0408
- NPI assigned
- Jun 26, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| T-15957 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi CVS Pharmacy LLC | Past |
Accepting new patients | |
| Mississippi CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T-15957 | MS | Yes |
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
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 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.