Active NPI
Abiy Asfaw
- Pharmacist
- Alexandria, LA
National Provider Identifier
1003294034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST. 021007
- Practice address
- 54450 Provine PL
Alexandria, LA 71303 - Phone
- (207) 907-8449
- NPI assigned
- May 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST. 021007 | LA | Primary |
Addresses
Primary practice location
54450 Provine PL
Alexandria, LA 71303
Mailing address
5445 Provine PL
103
Alexandria, LA 71303-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST. 021007 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1003294034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 PROVINE PL",
"address_2": "103",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54450 PROVINE PL",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "207-907-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASFAW",
"first_name": "ABIY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST. 021007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.