SUSAN ABRAHAM (NPI# 1144623232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144623232 |
| Entity Type | Individual |
| Full Name | SUSAN ABRAHAM |
| Practice Address |
4003 Canter Ct Valrico FL 33596-8436 |
| Practice Telephone | 8136818917 |
| Mailing Telephone | 8136818917 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RI25753 | NJ | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 045318 | NY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PS35657 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376574616 | Susan M Abraham | Pediatrics | 1414 N California St, Stockton, CA 95202-1515 | 2006-07-05 |
| 1508360983 | Susan Abraham | Physical Therapist | 33300 Utica Rd, Fraser, MI 48026-2017 | 2018-03-21 |
| 1164956777 | Susan Abraham | Nurse Practitioner | 9191 Kyser Way, Frisco, TX 75033-1902 | 2017-04-20 |
| 1801344072 | Susan Abraham | Physician Assistant | 333 Smith Ave N, Saint Paul, MN 55102 | 2016-09-16 |
| 1710365853 | Susan Abraham | Occupational Therapist | 963 W Yellowjacket Ln, Rockwall, TX 75087-4950 | 2015-05-08 |
| 1649553231 | Susan Abraham | Pharmacist | 705 1st St S, Winter Haven, FL 33880-3602 | 2011-09-21 |
| 1598913329 | Susan C Abraham | Social Worker | 333 Dairy Rd, Suite 201, Kahului, HI 96732-2487 | 2008-09-04 |
| 1598926818 | Susan Abraham | Internal Medicine | 530 Ne Glen Oak Ave, Uicomp Dept. of Internal Medicine, Peoria, IL 61637-0001 | 2008-06-19 |
| 1629163159 | Susan Gail Abraham | Psychiatry & Neurology | 196 Washington St, Keene, NH 03431-3113 | 2006-10-03 |
| 1326001967 | Susan Philips Abraham | Internal Medicine | 3080 Atlantic Ave, Brooklyn, NY 11208 | 2006-04-06 |
| Street Address |
4003 CANTER CT |
| City | VALRICO |
| State | FL |
| Zip Code | 33596-8436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271983 | Barbara Jeanne Ross | Registered Nurse | 2322 Longmore Circle, Valrico, FL 33596 | 2019-02-15 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1487131645 | Nationwide Vision Center, LLC | Technician/Technologist | 2054 E Bloomingdale Ave, Valrico, FL 33596 | 2018-07-20 |
| 1952827305 | Alicia Marie Glasser | Counselor | 3011 Folklore Dr, Valrico, FL 33596 | 2017-08-17 |
| 1811443104 | Yosanna Melendez | Day Training, Developmentally Disabled Services | 4408 Kendal Ct, Valrico, FL 33596 | 2016-08-28 |
| 1689030181 | Wal-mart Stores East, Lp | Technician/Technologist | 2140 Bloomingdale Avenue, Valrico, FL 33596 | 2016-01-13 |
| 1841660008 | Tyler Bradney Love | Physical Therapist | 2470 Bloomingdale Ave, Valrico, FL 33596 | 2015-09-30 |
| 1528499761 | Madeline Horn | Registered Nurse | 2211 Lithia Center Ln, Valrico, FL 33596 | 2013-12-12 |
| 1740614635 | Dr James M Petro Od, Pa | Optometrist | 2140 E Bloomingdale Ave, Located In Wal-mart Vision Center, Valrico, FL 33596 | 2013-08-27 |
| 1134476294 | Ovia Voncile Stephens-oatman | Custodial Care Facility | 4220 Balington Dr, Valrico, FL 33596 | 2012-08-08 |
| Find all providers in zip 33596 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092272 | Robert Daniel Zane | Pharmacist | 2140 Bloomingdale Ave, Valrico, FL 33596-6210 | 2020-10-27 |
| 1659929016 | Dhaval Zaveri | Pharmacist | 1810 Flat Branch Ct, Valrico, FL 33594-4079 | 2019-08-29 |
| 1689173205 | Sena Roy Kulangara | Pharmacist | 2004 Oak Isle Ct, Valrico, FL 33594-6758 | 2018-02-09 |
| 1538671136 | Fadi Salem | Pharmacist | 2109 E State Road 60, Valrico, FL 33594-3702 | 2017-11-04 |
| 1194191403 | Louis Lukose | Pharmacist | 2009 Carmella Dr, Valrico, FL 33594-4002 | 2015-08-20 |
| 1609266022 | Kevin Lukose | Pharmacist | 5106 Coopers Hawk Ct, Valrico, FL 33596-7961 | 2015-01-24 |
| 1700295243 | Parag Kadiwar | Pharmacist | 4314 Faircourt Dr, Valrico, FL 33596-7800 | 2014-08-08 |
| 1356781009 | Tapan Patel | Pharmacist | 1002 Arista Blvd, Valrico, FL 33594-6729 | 2013-06-26 |
| 1225376254 | Phung Thi Nguyen | Pharmacist | 1101 Bloomingdale Ave, Valrico, FL 33596-6108 | 2013-01-25 |
| 1609114297 | Mary Beth Myers | Pharmacist | 1971 Sr 60 E, Valrico, FL 33594-3603 | 2013-01-16 |
| Find all providers in VALRICO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.