Active NPI
Temesgen Fufa, PHARMD
- Pharmacist
- Marietta, GA
National Provider Identifier
1700354487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030678
- Practice address
- 2975 Delk Rd SE
Marietta, GA 30067-5318 - Phone
- (770) 933-9782
- NPI assigned
- Nov 11, 2018
- 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 | RPH030678 | GA | Primary |
Addresses
Primary practice location
2975 Delk Rd SE
Marietta, GA 30067-5318
Mailing address
3474 Andrew Jackson Dr
Clarkston, GA 30021-1235
Phone (678) 900-0600
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030678 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1541894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1700354487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3474 ANDREW JACKSON DR",
"city": "CLARKSTON",
"state": "GA",
"postal_code": "300211235",
"telephone_number": "678-900-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 DELK RD SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675318",
"telephone_number": "770-933-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUFA",
"first_name": "TEMESGEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.