Active NPI
Teklu Abraha Woldemichael
- Pharmacist
- Pisgah Forest, NC
National Provider Identifier
1801028139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20132
- Practice address
- 45 Hendersonville Hwy
Pisgah Forest, NC 28768-8895 - Phone
- (828) 884-8404
- NPI assigned
- Aug 20, 2009
- Last updated
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 20132 | NC | Primary |
Addresses
Primary practice location
45 Hendersonville Hwy
Pisgah Forest, NC 28768-8895
Mailing address
300 Long Shoals Rd
Arden, NC 28704-7739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0885245 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20132 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1801028139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONG SHOALS RD",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 HENDERSONVILLE HWY",
"city": "PISGAH FOREST",
"state": "NC",
"postal_code": "287688895",
"telephone_number": "828-884-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLDEMICHAEL",
"first_name": "TEKLU",
"middle_name": "ABRAHA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0885245",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pisgah Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.