Individual provider Active NPI

Tensae Yilikal

  • Pharmacist
  • Washington, DC
National Provider Identifier
1679984876
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH100000664 Issued in DC
Practice address
801 H St NE
Washington, DC 20002-3665
Phone
(202) 675-2555
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH100000664 DC Primary

Addresses

Primary practice location

801 H St NE
Washington, DC 20002-3665

Mailing address

801 H St NE
Washington, DC 20002-3665
Phone (202) 675-2555

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
PH100000664DCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Washington DC Inc Past Accepting new patients
Rite Aid of Washington DC Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1679984876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 H ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023665",
            "telephone_number": "202-675-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 H ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023665",
            "telephone_number": "202-675-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YILIKAL",
        "first_name": "TENSAE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100000664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.