Liya Kebede

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH027041 Issued in GA

Practice address

2618 Pangborn Rd
Decatur, GA 30033-2325

Phone

(678) 755-5496

NPI assigned

Jun 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1780096248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 PANGBORN RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332325",
            "telephone_number": "678-755-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 PANGBORN RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332325",
            "telephone_number": "678-755-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBEDE",
        "first_name": "LIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027041",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Katz, M.D.
• Gus Bernd Kaufman Jr., PH.D.
• June Kaufman, PH.D.
• Alka Kaushal, PHARMD
• Rebecca Keays, RD, LD
• Amy Keel, LCSW
• Martha R Keeling, LPC
• Melissa Keene, RRT
• Jamison Keenum
• Leah Michelle Kelley, LMSW

• Pharmacist in Decatur, GA
• Providers in Decatur, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.