Active NPI
Menesha Teka Woldezabher
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1154133148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP459108
- Practice address
- 2800 S 73Rd St
Philadelphia, PA 19153-2312 - Phone
- (267) 504-7191
- NPI assigned
- Jan 25, 2025
- Last updated
- Jan 25, 2025
- Sex
- Female
- 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 | RP459108 | PA | Primary |
Addresses
Primary practice location
2800 S 73Rd St
Philadelphia, PA 19153-2312
Mailing address
3599 W Chester Pike
Newtown Square, PA 19073-3701
Phone (610) 353-0294
Other practice location 1
3599 W Chester Pike
Newtown Square, PA 19073-3701
Phone (610) 353-0294
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP459108 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737763200000",
"number": "1154133148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 W CHESTER PIKE",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733701",
"telephone_number": "610-353-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S 73RD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191532312",
"telephone_number": "267-504-7191"
}
],
"practiceLocations": [
{
"address_1": "3599 W Chester Pike",
"address_purpose": "LOCATION",
"city": "Newtown Square",
"state": "PA",
"postal_code": "190733701",
"country_code": "US",
"telephone_number": "610-353-0294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLDEZABHER",
"first_name": "MENESHA",
"middle_name": "TEKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-25",
"last_updated": "2025-01-25",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP459108",
"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 Jan 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.