Awet Tewolde Gebregziabher, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

G162076789336 Issued in MD

Practice address

55 Drury Dr
La Plata, MD 20646-5203

Phone

(202) 277-6273

NPI assigned

Jun 24, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1174834089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 QUEENS CHAPEL RD APT 302",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823647",
            "telephone_number": "202-277-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DRURY DR",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465203",
            "telephone_number": "202-277-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREGZIABHER",
        "first_name": "AWET",
        "middle_name": "TEWOLDE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "G162076789336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in La Plata, MD
• Providers in La Plata, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.