DR. IMINABO SAMSON BEREPELE NPI 1023612744

NPI Information

NPI: 1023612744
Provider Name: DR. IMINABO SAMSON BEREPELE
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
3812 GILMER RD
LONGVIEW, TX
ZIP 75604
Phone: (903) 475-0477
Get Directions

DR. Iminabo Samson Berepele is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Longview, TX. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Iminabo Samson Berepele NPI is 1023612744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3812 GILMER RD
LONGVIEW, TX
ZIP 75604-173
Phone: (903) 475-0477
Fax: (903) 475-0478

The enumeration date for this NPI number is 11/23/2020 and was last updated on 11/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	54617	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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