Henock Woldu, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

75029 Issued in CA

Practice address

275 Hospital Pkwy
San Jose, CA 95119-1106

Phone

(720) 227-2078

NPI assigned

Oct 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1750892238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BANANA GROVE LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236403",
            "telephone_number": "720-227-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191106",
            "telephone_number": "720-227-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDU",
        "first_name": "HENOCK",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "75029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "D8349659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomasz Wojczyk, CRNA
• Christina Rebecca Wold, M.S., C.G.C.
• Omega Wolde
• Marshet Abate Woldeab
• Elon Woldesilassie
• Michelle S Wolf-Bloom, PHD
• Carol W Wolf, RD
• Linda W. Wolf, MD
• Claudia B Wolfe, L.AC.
• Danny A. Wolfe, MD

• Ambulatory Care Pharmacist in San Jose, CA
• Providers in San Jose, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.