Eyob Ghebrehiwet Hagos

Primary specialty

PharmacistTaxonomy code 183500000X

License

78298 Issued in CA

Practice address

1055 Fremont Blvd
Seaside, CA 93955-5712

Phone

(831) 393-9231

NPI assigned

Mar 29, 2018

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

• Eyob Hagos Ghebrehiwet Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Walgreen Co

  • Pharmacy
  • Seaside, CA
  • NPI 1396750683
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1467957449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 DEL MONTE BLVD APT 45",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939332430",
            "telephone_number": "408-646-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555712",
            "telephone_number": "831-393-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOS",
        "first_name": "EYOB",
        "middle_name": "GHEBREHIWET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EYOB",
            "last_name": "GHEBREHIWET",
            "middle_name": "HAGOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Good News Medical Transportation, LLC
• Linda Ann Gould, PHARM.D.
• Jason Green, PPS
• Norman Warren Gross, M.D.
• Leslie Marie Haedrich
• Angela Hanson
• Rebecca Rose Hardt
• Debra Sue Harris, MD
• Jovonda Harris
• Aida Magdalena Hasbun, MD

• Pharmacist in Seaside, CA
• Providers in Seaside, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.