NPIMap

Individual provider Active NPI

Yididya Zegeye Hambissa, PHARMD

  • Pharmacist
  • Chester, MD
National Provider Identifier
1821710922
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28785 Issued in MD
Practice address
1802 Main St
Chester, MD 21619-2604
Phone
(410) 643-5119
NPI assigned
Sep 15, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28785 MD Primary

Addresses

Primary practice location

1802 Main St
Chester, MD 21619-2604

Mailing address

251 Admiral Cochrane Dr Apt 5035
Annapolis, MD 21401-7594

Other practice location 1

251 Admiral Cochrane Dr Apt 5035
Annapolis, MD 21401-7594
Phone (410) 643-5119

Other practice location 2

701 Washington Ave
Chestertown, MD 21620-1001
Phone (410) 778-5698

Other practice location 3

701 Washington Ave
Chestertown, MD 21620-1001
Phone (410) 778-5698

Other practice location 4

251 Admiral Cochrane Dr
Annapolis, MD 21401-7585
Phone (614) 966-0517

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

LicenseStateTypeSpecialty
28785MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Sep 20, 2022 Accepting new patients
Walgreen Co PastSince Sep 20, 2022 Accepting new patients

Locations

1802 Main St
Chester, MD 21619
Phone (410) 643-5119

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1821710922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 ADMIRAL COCHRANE DR APT 5035",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MAIN ST",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192604",
            "telephone_number": "410-643-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Admiral Cochrane Dr Apt 5035",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017594",
            "country_code": "US",
            "telephone_number": "410-643-5119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201001",
            "country_code": "US",
            "telephone_number": "410-778-5698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201001",
            "country_code": "US",
            "telephone_number": "410-778-5698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Admiral Cochrane Dr",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017585",
            "country_code": "US",
            "telephone_number": "614-966-0517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBISSA",
        "first_name": "YIDIDYA",
        "middle_name": "ZEGEYE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.