Individual provider Active NPI

Sewalem Mebrate

  • Pharmacist
  • Alpharetta, GA
National Provider Identifier
1053002246
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH031905 Issued in GA
Practice address
806 Ashley LN
Alpharetta, GA 30022-6143
Phone
(901) 517-2867
NPI assigned
May 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH031905 GA Primary

Addresses

Primary practice location

806 Ashley LN
Alpharetta, GA 30022-6143

Mailing address

806 Ashley LN
Alpharetta, GA 30022-6143
Phone (901) 517-2867

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

LicenseStateTypeSpecialty
RPH031905GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic MTM, Inc. Pharmacist CurrentSince May 21, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1053002246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ASHLEY LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226143",
            "telephone_number": "901-517-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ASHLEY LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226143",
            "telephone_number": "901-517-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEBRATE",
        "first_name": "SEWALEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.