Active NPI
Abiel Haileab Tsegai
- Pharmacist
- Humble, TX
National Provider Identifier
1295337194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51962
- Practice address
- 9451 FM 1960 Bypass West
Humble, TX 77338 - Phone
- (281) 540-8861
- NPI assigned
- Nov 15, 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 | 51962 | TX | Primary |
Addresses
Primary practice location
9451 FM 1960 Bypass West
Humble, TX 77338
Mailing address
9620 Cambridge Manor Lane
Houston, TX 77045
Phone (713) 291-4693
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51962 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Ventures LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Stafford, TX
- NPI 1235841545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605398400000",
"number": "1295337194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9620 CAMBRIDGE MANOR LANE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77045",
"telephone_number": "713-291-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9451 FM 1960 BYPASS WEST",
"city": "HUMBLE",
"state": "TX",
"postal_code": "77338",
"telephone_number": "281-540-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSEGAI",
"first_name": "ABIEL",
"middle_name": "HAILEAB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-15",
"last_updated": "2020-11-15",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.