Tewodros Fitawok Amare, PHARM D
Individual provider Active NPI Pharmacist · Kansas City, MO
NPI 1316540461 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1316540461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2016027743 (MO)
- Practice address
- 4531 Troost Ave
Kansas City, MO 64110-1709 - Phone
- (816) 756-5005
- Fax
- (816) 756-1127
- NPI assigned
- Nov 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 2016027743 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2016027743 | MO | Yes |
Addresses
Primary practice location
4531 Troost Ave
Kansas City, MO 64110-1709
Mailing address
4531 Troost Ave
Kansas City, MO 64110-1709
Phone (816) 756-5005
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. 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.