Individual provider Active NPI

Sandra Dabelema Iheme, PHARM D

  • Pharmacist
  • Brownsville, TX
National Provider Identifier
1598052763
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47768 Issued in TX
Practice address
861 Old Alice Rd Ste 109
Brownsville, TX 78520-8551
Phone
(956) 404-0202
Fax
(956) 574-9766
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 47768 TX Primary

Addresses

Primary practice location

861 Old Alice Rd Ste 109
Brownsville, TX 78520-8551

Mailing address

861 Old Alice Rd Ste 109
Brownsville, TX 78520-8551
Phone (956) 404-0202

Other names 1

  • Dabelema Songo Batubo Former name

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

LicenseStateTypeSpecialty
47768TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC PastSince Jun 15, 2025 Accepting new patients
Genoa Healthcare 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1598052763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 OLD ALICE RD STE 109",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208551",
            "telephone_number": "956-404-0202",
            "fax_number": "956-574-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 OLD ALICE RD STE 109",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208551",
            "telephone_number": "956-404-0202",
            "fax_number": "956-574-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEME",
        "first_name": "SANDRA",
        "middle_name": "DABELEMA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DABELEMA",
            "last_name": "BATUBO",
            "middle_name": "SONGO",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.