Jiju Mon Abraham, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

46196 Issued in TX

Practice address

1306 N Beckley Ave
Dallas, TX 75203-1206

Phone

(214) 948-3559

NPI assigned

Nov 8, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Dallas, TX
  • NPI 1588679559
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257638400000",
    "number": "1386971661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031206",
            "telephone_number": "214-948-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031206",
            "telephone_number": "214-948-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JIJU",
        "middle_name": "MON",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-08",
        "last_updated": "2009-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "46196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jai Abraham, ACNP
• Janice Abraham
• Jeffrey Abraham, CAA
• Jenna Erynn Abraham, DPT
• Jesslin Abraham, MD
• Jocelyn Elizabeth Abraham
• Joyce Abraham
• Leah Teresa Abraham
• Leejia Mary Abraham, PHARM D
• Leny M Abraham, MD

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2009; 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.