Active NPI
Ewnetu G. Zerihun
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1407480635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP441435
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP441435 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shwartz RX 5610 Inc. | Current | 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.
-
- Pharmacy
- Philadelphia, PA
- NPI 1912550575
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.