Individual provider Active NPI

Segen Teclai Zerai

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1669174413
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S026346 Issued in AZ
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

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
S026346AZMDPharmacist

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.

Verify at the official NPI Registry.