SHERIN ABU (NPI# 1477190288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477190288 |
| Entity Type | Individual |
| Full Name | SHERIN ABU |
| Practice Address |
12311 Academy Rd Philadelphia PA 19154-1927 |
| Practice Telephone | 2156374690 |
| Practice Fax Number | 2156376121 |
| Mailing Telephone | 2156374690 |
| Mailing Fax Number | 2156376121 |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2019-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP452636 | PA | Pharmacy Service Providers |
| Street Address |
12311 ACADEMY RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19154-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912224197 | Sung S Cho | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2010-04-27 |
| 1114482924 | Sheena Cherian | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2019-02-06 |
| 1881174753 | Samoela Xh Papa | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2018-08-20 |
| 1538572698 | Dong-oh Lee | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2014-06-06 |
| 1861805129 | Lisa Minecci Kutney | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2014-06-04 |
| 1962753269 | Henry Kim | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2012-09-26 |
| 1760737035 | Jay R Dave | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2012-07-23 |
| 1497075022 | Fredric Cohen | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2010-06-05 |
| 1891013587 | Larisa Charn | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| 1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
| 1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
| 1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
| 1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
| 1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
| 1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
| 1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
| 1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
| 1760589113 | Sam's Club Optical | Technician/Technologist | 1000 Franklin Mills Circle, Philadelphia, PA 19154 | 2006-09-20 |
| Find all providers in zip 19154 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355030 | Nur Kazzaz | Pharmacist | 3401 N Broad St Ste B150, Philadelphia, PA 19140-5103 | 2020-04-22 |
| 1164903381 | Suzanne Scott Giyanani | Pharmacist | 200 W Washington Sq Apt 3609, Philadelphia, PA 19106-3538 | 2018-08-25 |
| 1629412713 | Rath Hean | Pharmacist | 2131 N Broad St, Philadelphia, PA 19122-1105 | 2013-04-19 |
| 1992010540 | Wayne S Binder | Pharmacist | 9920 Bustleton Ave., Philadelphia, PA 19115 | 2010-08-06 |
| 1336453521 | Casandra Bonita Jeter | Pharmacist | 2201 W Allegheny Ave, Philadelphia, PA 19132-1420 | 2010-07-30 |
| 1689993784 | Alina Kandov | Pharmacist | 9920 Bustleton Avenue, Philadelphia, PA 19115-1006 | 2010-05-28 |
| 1700483120 | James Joseph Cavage II | Pharmacist | 200 Stevens Dr, Philadelphia, PA 19113-1532 | 2020-10-08 |
| 1376165407 | Jenny Au | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-05-12 |
| 1043831480 | Alasan Jallow | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-04-27 |
| 1386295525 | Divya Lal | Pharmacist | 338 E Allegheny Ave, Philadelphia, PA 19134-2321 | 2019-09-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19154 |
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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.