Meby S Abraham
Individual provider Active NPI Pharmacist · Tampa, FL
NPI 1992217293 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1992217293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS48223 (FL)
- Practice address
- 3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307 - Phone
- (813) 357-0630
- Fax
- (813) 357-0631
- NPI assigned
- Oct 26, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48223 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS48223 | FL | Yes |
Addresses
Primary practice location
3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Mailing address
12849 Darby Ridge Dr
Tampa, FL 33624-4304
Phone (813) 407-2965
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS48223 | Other | FL | FL BOARD OF PHARMACY |
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 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.