Active NPI
Atsnaf Melaku Gebremariam, PHARMD
- Pharmacist
- Havelock, NC
National Provider Identifier
1780175703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27589
- Practice address
- 566 US Highway 70 W
Havelock, NC 28532-9569 - Phone
- (252) 444-2055
- NPI assigned
- May 24, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62260 | TX | |
| Pharmacist | 183500000X | 17303 | OK | |
| Pharmacist | 183500000X | 27589 | NC | Primary |
Addresses
Primary practice location
566 US Highway 70 W
Havelock, NC 28532-9569
Mailing address
5116 Western Blvd Apt 915
Jacksonville, NC 28546-0023
Phone (404) 643-3940
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 |
|---|---|---|---|
| 62260 | TX | MD | Mental Health Counselor |
| 27589 | NC | MD | Pharmacist |
| 17303 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1780175703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 WESTERN BLVD APT 915",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285460023",
"telephone_number": "404-643-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 US HIGHWAY 70 W",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285329569",
"telephone_number": "252-444-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREMARIAM",
"first_name": "ATSNAF",
"middle_name": "MELAKU",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62260",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17303",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.