NPI 1083219299 · live from the CMS NPI Registry
Jephine Abraham, Pharm D
Pharmacist in Fort Worth, TX. National Provider Identifier 1083219299, active.
NPI record
| NPI | 1083219299 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 3614 Camp Bowie Blvd, Fort Worth, TX 76107 |
| Practice phone | 817-870-1873 |
| Enumerated | December 3, 2020 |
| Last updated | December 8, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 15259 (OK) |
| Pharmacist primary | 183500000X | 60369 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.