Individual provider Active NPI

Ewnetu G. Zerihun

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1407480635
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP441435 Issued in PA
Practice address
5610 Lancaster Ave Ste 200
Philadelphia, PA 19131-3440
Phone
(215) 921-3656
Fax
(215) 921-3666
NPI assigned
Feb 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP441435 PA Primary

Addresses

Primary practice location

5610 Lancaster Ave Ste 200
Philadelphia, PA 19131-3440

Mailing address

250 Beverly Blvd Apt E205
Upper Darby, PA 19082-4554
Phone (215) 921-3656

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
RP441435PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shwartz RX 5610 Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

5610 Lancaster Ave
Ste 200
Philadelphia, PA 19131
Phone (215) 921-3656

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1407480635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BEVERLY BLVD APT E205",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824554",
            "telephone_number": "215-921-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 LANCASTER AVE STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313440",
            "telephone_number": "215-921-3656",
            "fax_number": "215-921-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERIHUN",
        "first_name": "EWNETU",
        "middle_name": "G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.