Active NPI
Razel Abdissa Gebrehana, PHARM.D
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1043531130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441437
- Practice address
- 4127 Lancaster Ave
Philadelphia, PA 19104-1726 - Phone
- (276) 210-1131
- NPI assigned
- Jun 12, 2010
- Last updated
- Jun 12, 2010
- 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 | RP441437 | PA | Primary |
Addresses
Primary practice location
4127 Lancaster Ave
Philadelphia, PA 19104-1726
Mailing address
3820 Conshohocken Ave
Philadelphia, PA 19131-2822
Phone (276) 210-1131
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP441437 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMR Group | Current | Accepting new patients | |
| RXN Corporation | Current | Accepting new patients |
Locations
4127 Lancaster Ave
Philadelphia, PA 19104
Phone (215) 921-8778
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276300800000",
"number": "1043531130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 CONSHOHOCKEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312822",
"telephone_number": "276-210-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4127 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041726",
"telephone_number": "276-210-1131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREHANA",
"first_name": "RAZEL",
"middle_name": "ABDISSA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-12",
"last_updated": "2010-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.