DR. IMINABO SAMSON BEREPELE
NPI 1023612744
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Longview, TX

Active since November 23, 2020
3812 GILMER RD, LONGVIEW, TX 75604(903) 475-0477(903) 475-0478 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Iminabo Samson Berepele NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IMINABO SAMSON BEREPELE (NPI 1023612744) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Longview, Texas, licensed in Texas (54617) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1023612744
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. IMINABO SAMSON BEREPELE
Location Address3812 GILMER RDLongview, TX 75604-1173
Mailing Address3812 Gilmer RdLongview, TX 75604-1173 · (903) 475-0477 · Fax (903) 475-0478
Fax(903) 475-0478
Sole ProprietorNo
Enumeration DateNovember 23, 2020
NPPES CertifiedNovember 23, 2020
NPI 1023612744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in TX · 54617
Definition

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.

3812 GILMER RD, Longview, TX 75604

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3812 GILMER RD
LONGVIEW, TX 75604
Pharmacist
3812 GILMER RD
LONGVIEW, TX 75604
Pharmacy (Community/Retail Pharmacy)
3812 GILMER RD
LONGVIEW, TX 75604
Pharmacist
3812 GILMER RD
LONGVIEW, TX 75604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iminabo Berepele's NPI number?

The NPI number for Iminabo Berepele is 1023612744. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Iminabo Berepele located?

Iminabo Berepele practices at 3812 Gilmer Rd, Longview, TX 75604. The listed phone number is (903) 475-0477.

What is Iminabo Berepele's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Iminabo Berepele was last updated on November 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.