Active NPI
Assefa Gebremichael, PHARMD, PHD
- Pharmacist
- Santa Clara, CA
National Provider Identifier
1386961217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52368
- Practice address
- 1000 Kiely Blvd
#91
Santa Clara, CA 95051 - Phone
- (510) 827-2111
- NPI assigned
- May 3, 2010
- 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 | 52368 | CA | Primary |
Addresses
Primary practice location
1000 Kiely Blvd
#91
Santa Clara, CA 95051
Mailing address
1000 Kiely Blvd
#91
Santa Clara, CA 95051
Phone (510) 827-2111
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 Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52368 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1386961217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 KIELY BLVD",
"address_2": "#91",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "510-827-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 KIELY BLVD",
"address_2": "#91",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "95051",
"telephone_number": "510-827-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREMICHAEL",
"first_name": "ASSEFA",
"name_prefix": "Dr.",
"credential": "PHARMD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-03",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "52368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.