Individual provider Active NPI

Thomas Bayeh Temesgen

  • Pharmacist
  • Tucker, GA
National Provider Identifier
1104103225
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS48433 Issued in FL
Practice address
1859 Hudson Xing Apt 7
Tucker, GA 30084-5651
Phone
(404) 232-0653
NPI assigned
Nov 3, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS48433 FL Primary

Addresses

Primary practice location

1859 Hudson Xing Apt 7
Tucker, GA 30084-5651

Mailing address

1859 Hudson Xing Apt 7
Tucker, GA 30084-5651
Phone (404) 232-0653

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
PS48433FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1104103225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 HUDSON XING APT 7",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845651",
            "telephone_number": "404-232-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 HUDSON XING APT 7",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845651",
            "telephone_number": "404-232-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMESGEN",
        "first_name": "THOMAS",
        "middle_name": "BAYEH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.