Dr. Mary Rahul Abraham, PharmD
Pharmacist in West Haven, CT. Individual provider (NPI-1).
NPI number1386344950
StatusActive
Last updated in NPPESMar 3, 2023
Details
- NPI
- 1386344950
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Rahul Abraham
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2023
- Certification date
- Mar 2, 2023
- Last updated
- Mar 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PCT.0013306 | CT | Yes |
Other names
- Mary Poonnose (Former Name)
Practice location
950 Campbell AveWest Haven, CT 06516-2770
Phone 203-932-5711
Mailing address
79 Whitewood RdNewington, CT 06111-2133
Phone 860-817-0375
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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