Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Iminabo Samson Berepele

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1023612744

Dr. Iminabo Samson Berepele is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Longview, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

3812 Gilmer Rd
Longview, TX 75604-1173
Phone: (903) 475-0477
Fax: (903) 475-0478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 54617 (TX)

Record details

NPI number1023612744
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020

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