Shiavubu Wuwih Abimeh, PHARMD
Individual provider Active NPI Pharmacist · Saint Cloud, FL
NPI 1255917837 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1255917837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS60500 (FL)
- Practice address
- 4400 13TH St
Saint Cloud, FL 34769-6763 - Phone
- (407) 957-4333
- NPI assigned
- Mar 23, 2021
- 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 |
|---|---|---|---|
| PS60500 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS60500 | FL | Yes |
Addresses
Primary practice location
4400 13TH St
Saint Cloud, FL 34769-6763
Mailing address
4400 13TH St
Saint Cloud, FL 34769-6763
Phone (407) 957-4333
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | swabime.s01086.us@wal-mart.com | Health Information Exchange (HIE) |
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. 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.