Isac Tesfyaye, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

35726 Issued in TX

Practice address

2962 S Longhorn Dr
Lancaster, TX 75134-2118

Phone

(972) 228-6530

Fax

(972) 228-5646

NPI assigned

Apr 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Isac Tesfaye Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• VA Cmop

  • VA Clinic/Center
  • Lancaster, TX
  • NPI 1730344318
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1447423496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 S LONGHORN DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751342118",
            "telephone_number": "972-228-6530",
            "fax_number": "972-228-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 S LONGHORN DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751342118",
            "telephone_number": "972-228-6530",
            "fax_number": "972-228-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFYAYE",
        "first_name": "ISAC",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "35726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISAC",
            "last_name": "TESFAYE",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary W Taylor, LBSW
• Jacquelene G Taylor, LPCA
• Marquisha Taylor, LPC
• Tracey Harris Taylor, BSN, RN, CSSM
• Alfred Lee Terrell
• Texas Em-1 Medical Services, PA
• Texas Emergency Room Services, PA
• Texas Mental Health & Behavior LLC
• Texas Specialty Clinic
• Bhavya Ashish Thakkar

• Pharmacist in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.