Azieb Ghirmai Abebe, PHARM D
Individual provider Active NPI Pharmacist · Clarksville, TN
NPI 1265797443 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1265797443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 36879 (TN)
- Practice address
- 1489 Madison St
Clarksville, TN 37040-3875 - Phone
- (931) 553-0254
- NPI assigned
- Jul 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36879 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36879 | TN | Yes |
Addresses
Primary practice location
1489 Madison St
Clarksville, TN 37040-3875
Mailing address
2131 Abbott Martin Rd
Nashville, TN 37215-2699
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.