Active NPI
Markos Gebru
- Pharmacist
- Yreka, CA
National Provider Identifier
1265905442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79899
- Practice address
- 1906 Fort Jones Rd
Yreka, CA 96097-9530 - Phone
- (530) 842-9060
- NPI assigned
- Jan 10, 2019
- 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 | 79899 | CA | Primary |
Addresses
Primary practice location
1906 Fort Jones Rd
Yreka, CA 96097-9530
Mailing address
1118 S Oregon St
Yreka, CA 96097-3353
Phone (720) 285-0532
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1265905442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 S OREGON ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973353",
"telephone_number": "720-285-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 FORT JONES RD",
"city": "YREKA",
"state": "CA",
"postal_code": "960979530",
"telephone_number": "530-842-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBRU",
"first_name": "MARKOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.