Active NPI
Zereit Haileselassie, RPH
- Pharmacist
- Seattle, WA
National Provider Identifier
1053673715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00015709
- Practice address
- 1001 Madison St Ste 150
Seattle, WA 98104-1993 - Phone
- (800) 619-7610
- Fax
- (800) 619-7611
- NPI assigned
- Jun 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 00015709 | WA | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 00015709 | WA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 00015709 | WA |
Addresses
Primary practice location
1001 Madison St Ste 150
Seattle, WA 98104-1993
Mailing address
1001 Madison St Ste 150
Seattle, WA 98104-1993
Phone (800) 619-7610
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00015709 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1053673715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MADISON ST STE 150",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041993",
"telephone_number": "800-619-7610",
"fax_number": "800-619-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MADISON ST STE 150",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041993",
"telephone_number": "800-619-7610",
"fax_number": "800-619-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILESELASSIE",
"first_name": "ZEREIT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "00015709",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "00015709",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "00015709",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.