Selam Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SELAM PHARMACY LLC

Practice address

2447 Telegraph Ave
Oakland, CA 94612-2404

Phone

(510) 984-1429

Fax

(510) 646-9840

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Abraham Gebru, DOCTOR OF PHARMACYNPI 1235384132

Title

Pharmacist-in-Charge

Phone

(510) 984-1429

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Abraham Gebru, PHARM D.

  • Pharmacist
  • Oakland, CA
  • NPI 1235384132
  NPD Authorized official

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1144964784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122404",
            "telephone_number": "510-984-1429",
            "fax_number": "510-646-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122404",
            "telephone_number": "510-984-1429",
            "fax_number": "510-646-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "GEBRU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "510-984-1429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Seifert
• Todd A Seigel, MD
• James Castro Seishas Jr., LMFT
• Navjot Sekhon
• Susan Sekler, PHD
• Joe V. Selby, MD
• Select Cal Physical Therapy PC
• Holly Selepec, MS, CCC-SLP
• Margarita L Seley, PSY.D
• Joanna F. Self, PH.D.

• Community/Retail Pharmacy in Oakland, CA
• Providers in Oakland, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.