Active NPI
Yibeltal Ashenafi Zeleke, PHARMD
- Pharmacist
- Plainwell, MI
National Provider Identifier
1215553136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302047157
- Practice address
- 1277 M 89
Plainwell, MI 49080-1919 - Phone
- (269) 685-5623
- Fax
- (269) 685-5814
- NPI assigned
- Jun 17, 2020
- Sex
- Male
- 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 | 5302047157 | MI | Primary |
Addresses
Primary practice location
1277 M 89
Plainwell, MI 49080-1919
Mailing address
1277 M 89
Plainwell, MI 49080-1919
Phone (269) 685-5623
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302047157 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1277 M 89
Plainwell, MI 49080
Phone (269) 685-5623
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1215553136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 M 89",
"city": "PLAINWELL",
"state": "MI",
"postal_code": "490801919",
"telephone_number": "269-685-5623",
"fax_number": "269-685-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 M 89",
"city": "PLAINWELL",
"state": "MI",
"postal_code": "490801919",
"telephone_number": "269-685-5623",
"fax_number": "269-685-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELEKE",
"first_name": "YIBELTAL",
"middle_name": "ASHENAFI",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MI",
"license": "5302047157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainwell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.