Active NPI
Metkel Tecle
- Pharmacist
- Waxhaw, NC
National Provider Identifier
1659199719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33416
- Practice address
- 10012 Weiss Way
Waxhaw, NC 28173-0800 - Phone
- (704) 321-2694
- NPI assigned
- Sep 27, 2024
- Sex
- Male
- 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 | 33416 | NC | Primary |
Addresses
Primary practice location
10012 Weiss Way
Waxhaw, NC 28173-0800
Mailing address
306 E Woodlawn Rd
Charlotte, NC 28217-2349
Phone (704) 525-7291
Other practice location 1
306 E Woodlawn Rd
Charlotte, NC 28217-2349
Phone (704) 525-7291
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33416 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1659199719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 E WOODLAWN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282172349",
"telephone_number": "704-525-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 WEISS WAY",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730800",
"telephone_number": "704-321-2694"
}
],
"practiceLocations": [
{
"address_1": "306 E Woodlawn Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282172349",
"country_code": "US",
"telephone_number": "704-525-7291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TECLE",
"first_name": "METKEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "33416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.