Emil Sunny Abraham, PHARM D
Individual provider Active NPI Pharmacist · Rockwall, TX
NPI 1982206256 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1982206256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 63974 (TX)
- Practice address
- 782 E Interstate 30
Rockwall, TX 75087-5503 - Phone
- (972) 771-8612
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- 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 |
|---|---|---|---|
| 63974 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63974 | TX | Yes |
Addresses
Primary practice location
782 E Interstate 30
Rockwall, TX 75087-5503
Mailing address
5400 Worley Dr
The Colony, TX 75056-3854
Phone (469) 494-2546
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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.