Active NPIIndividual provider

Thomas E Imahiyerobo

Pharmacist in Brockton, Massachusetts

NPI Number1689993487
Practice location
1123 Pearl St, Brockton, MA 02301
Fax
—
Last updated
May 19, 2010

Thomas Ekenase Imahiyerobo is a Pharmacist based in Brockton, MA. Thomas Ekenase Imahiyerobo practices in Brockton, MA. The NPI Number for Thomas Ekenase Imahiyerobo is 1689993487 and holds a License No. 20074 (MA). The current practice location address for Thomas Ekenase Imahiyerobo is 1123 Pearl St, Brockton, MA 02301 and can be reached out via phone at 508-588-4600.

Provider Profile Details

NPI Number
1689993487
Provider Name
Thomas Ekenase Imahiyerobo
Provider Entity Type
Individual
Gender
Male
Address
1123 Pearl St, Brockton, MA 02301
Phone Number
508-588-4600
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2010
Last Update Date
May 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1123 Pearl St
Brockton, MA 02301
Zip
02301
Phone Number
508-588-4600
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
41 Solaris Road
Hyde Park, MA 02136
City
Hyde Park
State
MA
Zip
02136
Phone Number
617-364-1964

License Information

License Number
20074
License State
MA
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Thomas E Imahiyerobo?

The NPI number of Thomas E Imahiyerobo is 1689993487. It was assigned on May 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Thomas E Imahiyerobo?

Thomas E Imahiyerobo is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number 20074.

Where does Thomas E Imahiyerobo practice?

The practice location is 1123 Pearl St, Brockton, MA 02301. The office can be reached at 508-588-4600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689993487 directly on the NPPES registry website.

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