Dr. Iminabo Samson Berepele
Dr. Iminabo Samson Berepele is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist provider (Pharmacist) practicing in Longview, TX, registered in the NPPES registry with NPI 1023612744 since 2020. Practices at Wal-Mart Stores Texas LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023612744 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Iminabo Samson Berepele |
| Sex | Male |
| Practice address | 3812 GILMER RD, Longview, TX, 75604 |
| Phone | 9034750477 |
| Fax | 9034750478 |
| Enumeration date | 2020-11-23 |
| Last updated in NPPES | 2020-11-23 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Primary | 54617 | TX |
Copy-ready billing details
Provider: Iminabo Berepele NPI: 1023612744 Taxonomy: 1835P0018X (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) Address: 3812 GILMER RD, Longview, TX, 75604
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821404534 | Wal-Mart Stores Texas LLC | Organization | Community/Retail Pharmacy | Longview, TX |
| 1568067890 | Mark Baumgarner | Individual | Pharmacist | Longview, TX |
| 1437754595 | John Case | Individual | Pharmacist | Longview, TX |
| 1841052586 | Christin Vaughan | Individual | Pharmacist | Longview, TX |
Verify this record
Cross-check NPI 1023612744 against the authoritative CMS record: view Dr. Iminabo Samson Berepele on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Iminabo Berepele?
Where does Iminabo Berepele practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-23.