Mirabelle Adamu-Zeh, PHARMD
Individual provider Active NPI Pharmacist · Pine Ridge, SD
NPI 1801377338 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1801377338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051695-1 (NY)
- Practice address
- Hwy 18
Pine Ridge, SD 57770-1201 - Phone
- (605) 867-3192
- NPI assigned
- Aug 23, 2018
- 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 |
|---|---|---|---|
| 051695-1 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051695-1 | NY | Yes |
Addresses
Primary practice location
Hwy 18
Pine Ridge, SD 57770-1201
Mailing address
PO Box 1201
Pine Ridge, SD 57770-1201
Phone (605) 867-3192
Other providers in Pine Ridge, SD
- Joyce Achenjang
- Merry Carole Afraid of Bear
- Joselyn Agosto-Betancourt
- Tia Akers
- Apollo Medflight, LLC
- Steven John Arity
All providers in Pine Ridge, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2018. 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.