Active NPI
Yonas W Gebremariam, PHARMD
- Pharmacist
- Boulder, CO
National Provider Identifier
1285077271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16726
- Practice address
- 3600 Table Mesa Dr
Boulder, CO 80305-5800 - Phone
- (303) 499-4244
- Fax
- (303) 497-2204
- NPI assigned
- Apr 9, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16726 | CO | Primary |
| Geriatric Pharmacist | 1835G0303X | 16726 | CO | |
| Pharmacotherapy Pharmacist | 1835P1200X | 16726 | CO |
Addresses
Primary practice location
3600 Table Mesa Dr
Boulder, CO 80305-5800
Mailing address
3600 Table Mesa Dr
Boulder, CO 80305-5800
Phone (303) 499-4244
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 |
|---|---|---|---|
| 16726 | CO | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
- Community/Retail Pharmacy
- Boulder, CO
- NPI 1477589943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1285077271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 TABLE MESA DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055800",
"telephone_number": "303-499-4244",
"fax_number": "303-497-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 TABLE MESA DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055800",
"telephone_number": "303-499-4244",
"fax_number": "303-497-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREMARIAM",
"first_name": "YONAS",
"middle_name": "W",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16726",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CO",
"license": "16726",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CO",
"license": "16726",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.