Active NPI
Segen Teclai Zerai
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1669174413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026346
- Practice address
- 1615 E Baseline Rd
Phoenix, AZ 85042-6801 - Phone
- (602) 276-6001
- NPI assigned
- Mar 17, 2023
- 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 | S026346 | AZ | Primary |
Addresses
Primary practice location
1615 E Baseline Rd
Phoenix, AZ 85042-6801
Mailing address
2813 W Kowalsky LN
Phoenix, AZ 85041-4457
Phone (602) 475-8722
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 |
|---|---|---|---|
| S026346 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1669174413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 W KOWALSKY LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850414457",
"telephone_number": "602-475-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 E BASELINE RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850426801",
"telephone_number": "602-276-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERAI",
"first_name": "SEGEN",
"middle_name": "TECLAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-17",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.