Active NPI
Selamawit Dejene, PHARMD.
- Pharmacy
- Atlanta, GA
National Provider Identifier
1467003467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RPH030222
- Practice address
- 464 Bishop St NW Apt 336
Atlanta, GA 30318-5384 - Phone
- (405) 269-1186
- NPI assigned
- Sep 23, 2019
- Last updated
- Sep 23, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | RPH030222 | GA | Primary |
Addresses
Primary practice location
464 Bishop St NW Apt 336
Atlanta, GA 30318-5384
Mailing address
550 Peachtree St NE
Atlanta, GA 30308-2212
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030222 | GA | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1467003467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 BISHOP ST NW APT 336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303185384",
"telephone_number": "405-269-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJENE",
"first_name": "SELAMAWIT",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "RPH030222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.