Individual provider Active NPI

Frew Meshesha, PHARMD

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1497152813
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55863 Issued in TX
Practice address
3700 Hueco Valley Dr Apt 907
El Paso, TX 79938-5417
Phone
(206) 359-1448
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55863 TX Primary
Pharmacist 183500000X RP00008288 NM

Addresses

Primary practice location

3700 Hueco Valley Dr Apt 907
El Paso, TX 79938-5417

Mailing address

3700 Hueco Valley Dr Apt 907
El Paso, TX 79938-5417
Phone (206) 359-1448

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

LicenseStateTypeSpecialty
RP00008288NMMDPharmacist
55863TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1497152813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HUECO VALLEY DR APT 907",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799385417",
            "telephone_number": "206-359-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HUECO VALLEY DR APT 907",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799385417",
            "telephone_number": "206-359-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHESHA",
        "first_name": "FREW",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55863",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00008288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.