Active NPI
Dejene L Mideksa
- Pharmacist
- Sachse, TX
National Provider Identifier
1205792843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76694
- Practice address
- 5434 Highway 78
Sachse, TX 75048-3740 - Phone
- (972) 495-0408
- NPI assigned
- Dec 29, 2025
- Last updated
- Dec 29, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76694 | TX | Primary |
Addresses
Primary practice location
5434 Highway 78
Sachse, TX 75048-3740
Mailing address
5434 Highway 78
Sachse, TX 75048-3740
Phone (972) 495-0408
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 |
|---|---|---|---|
| 76694 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1205792843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5434 HIGHWAY 78",
"city": "SACHSE",
"state": "TX",
"postal_code": "750483740",
"telephone_number": "972-495-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5434 HIGHWAY 78",
"city": "SACHSE",
"state": "TX",
"postal_code": "750483740",
"telephone_number": "972-495-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDEKSA",
"first_name": "DEJENE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "76694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.