Dereje Wondemeneh, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH100001045 Issued in DC

Practice address

6 Dupont Cir NW
Washington, DC 20036-1108

Phone

(202) 785-1466

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1619573524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 1ST AVE APT 603D",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DUPONT CIR NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361108",
            "telephone_number": "202-785-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDEMENEH",
        "first_name": "DEREJE",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26025",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100001045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Womack
• Tasha Womack, PT
• Womb of Creation LLC
• Women OB GYN Physicians PLLC
• Women's Psychotherapy Insititute, LTD
• Geraldine Wondeu
• Alemnesh Wondie
• Mesert Assefa Wondimagenge, HHA
• Sewasew Wondimkun
• Adanech Asfaw Wondimu

• Pharmacist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.