Individual provider Active NPI

Abimbola Oluwabunmi Farinde, PHD, LPC, LCDC

  • Pharmacist
  • Houston, TX
National Provider Identifier
1639367873
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45724 Issued in TX
Practice address
11703 Beechnut Street #720959
Houston, TX 77072-9998
Phone
(832) 980-5797
Fax
(832) 890-5797
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 74547 TX
Pharmacist 183500000X 45724 TX Primary

Addresses

Primary practice location

11703 Beechnut Street #720959
Houston, TX 77072-9998

Mailing address

11703 Beechnut Street #720959
Houston, TX 77072-9998
Phone (832) 980-5797

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 Philosophy

State licenses

LicenseStateTypeSpecialty
74547TXMDMental Health Counselor
45724TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abimbolafarinde@tdh.allscriptsdirect.net

Organizations & group practices 1

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1639367873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11703 BEECHNUT STREET #720959",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770729998",
            "telephone_number": "832-980-5797",
            "fax_number": "832-890-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11703 BEECHNUT STREET #720959",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770729998",
            "telephone_number": "832-980-5797",
            "fax_number": "832-890-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINDE",
        "first_name": "ABIMBOLA",
        "middle_name": "OLUWABUNMI",
        "name_prefix": "Ms.",
        "credential": "PHD, LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74547",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.