Provider Demographics
NPI:1417350661
Name:ABRAHAMSON, NAOMI (PHARMD)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:ABRAHAMSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:SELEVAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4807 SUGAR GROVE BLVD STE 702
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2652
Mailing Address - Country:US
Mailing Address - Phone:346-350-2000
Mailing Address - Fax:
Practice Address - Street 1:4807 SUGAR GROVE BLVD STE 702
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2652
Practice Address - Country:US
Practice Address - Phone:346-350-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302046550183500000X
VA202217506183500000X
LAPST.022479183500000X
NJ28RI03791600183500000X
KY020599183500000X
OK18347183500000X, 183500000X
NY059761183500000X
TX57525183500000X, 183500000X
KS1-107848183500000X
ARPD14451183500000X
NE16028183500000X
AL20845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist