Individual provider Active NPI

Frew Hiwot Negatu

  • Pharmacist
  • Charles Town, WV
National Provider Identifier
1295597805
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0006521 Issued in WV
Practice address
40 Flowing Springs Way
Charles Town, WV 25414-6041
Phone
(304) 724-0002
NPI assigned
Jan 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0006521 WV Primary

Addresses

Primary practice location

40 Flowing Springs Way
Charles Town, WV 25414-6041

Mailing address

40 Flowing Springs Way
Charles Town, WV 25414-6041
Phone (304) 724-0002

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
RP0006521WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1295597805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FLOWING SPRINGS WAY",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254146041",
            "telephone_number": "304-724-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLOWING SPRINGS WAY",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254146041",
            "telephone_number": "304-724-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGATU",
        "first_name": "FREW",
        "middle_name": "HIWOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.