Active NPI
Amlakbalew Getahun Derebe, PHARMD
- Pharmacist
- Cedar Hill, TX
National Provider Identifier
1336897321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69527
- Practice address
- 501 E Belt Line Rd
Cedar Hill, TX 75104-2210 - Phone
- (972) 291-2787
- NPI assigned
- Mar 17, 2022
- Last updated
- Mar 17, 2022
- 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 | 69527 | TX | Primary |
Addresses
Primary practice location
501 E Belt Line Rd
Cedar Hill, TX 75104-2210
Mailing address
501 E Belt Line Rd
Cedar Hill, TX 75104-2210
Phone (972) 291-2787
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 |
|---|---|---|---|
| 69527 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1336897321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E BELT LINE RD",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042210",
"telephone_number": "972-291-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E BELT LINE RD",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042210",
"telephone_number": "972-291-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEREBE",
"first_name": "AMLAKBALEW",
"middle_name": "GETAHUN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.