Active NPI
Shetaye Gulelat
- Pharmacist
- Hawley, PA
National Provider Identifier
1376833343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP443267
- Practice address
- 667 Route 739
Hawley, PA 18428 - Phone
- (570) 775-0405
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- 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 | RP443267 | PA | Primary |
Addresses
Primary practice location
667 Route 739
Hawley, PA 18428
Mailing address
102 Orchard E
Dallas, PA 18612-1819
Phone (917) 952-9934
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 |
|---|---|---|---|
| RP443267 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1376833343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ORCHARD E",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121819",
"telephone_number": "917-952-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 ROUTE 739",
"city": "HAWLEY",
"state": "PA",
"postal_code": "18428",
"telephone_number": "570-775-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULELAT",
"first_name": "SHETAYE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP443267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.