Active NPI
Teamirat Habtesion, PHARM D
- Pharmacist
- Tacoma, WA
National Provider Identifier
1609275791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60211935
- Practice address
- 315 Martin Luther King Jr Way
Tacoma, WA 98405-4234 - Phone
- (253) 403-2403
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | PH60211935 | WA | Primary |
Addresses
Primary practice location
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Mailing address
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Other practice location 1
743 Rainier Ave S
Renton, WA 98057-3204
Phone (425) 227-9307
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.multicare.org | ||
| Other URL | www.multicare.org |
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 |
|---|---|---|---|
| PH60211935 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1609275791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054234",
"telephone_number": "253-403-2403"
}
],
"practiceLocations": [
{
"address_1": "743 Rainier Ave S",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980573204",
"country_code": "US",
"telephone_number": "425-227-9307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HABTESION",
"first_name": "TEAMIRAT",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60211935",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.multicare.org",
"affiliation": "N",
"address_1": "315 M.L.K. Jr Way, Tacoma, WA 98405",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "98405",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.multicare.org",
"affiliation": "N",
"address_1": "315 M.L.K. Jr Way, Tacoma, WA 98405",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "98405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.