Individual provider Active NPI

Tesfu Abraham Telinte

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1245836188
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
024894 Issued in AZ
Practice address
7101 N 19TH Ave Apt 355
Phoenix, AZ 85021-8579
Phone
(520) 437-5373
NPI assigned
Dec 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 024894 AZ Primary

Addresses

Primary practice location

7101 N 19TH Ave Apt 355
Phoenix, AZ 85021-8579

Mailing address

7101 N 19TH Ave Apt 355
Phoenix, AZ 85021-8579
Phone (520) 437-5373

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

LicenseStateTypeSpecialty
024894AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1245836188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 N 19TH AVE APT 355",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218579",
            "telephone_number": "520-437-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 N 19TH AVE APT 355",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218579",
            "telephone_number": "520-437-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELINTE",
        "first_name": "TESFU",
        "middle_name": "ABRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "024894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.