Active NPI
Wondwossen Zewde Teka, PHARM D
- Pharmacist
- Plano, TX
National Provider Identifier
1831602127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49126
- Practice address
- 5721 Tribune Way
Plano, TX 75094-4505 - Phone
- (619) 417-0679
- NPI assigned
- Nov 9, 2017
- 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 | 49126 | TX | Primary |
Addresses
Primary practice location
5721 Tribune Way
Plano, TX 75094-4505
Mailing address
5721 Tribune Way
Plano, TX 75094
Phone (619) 417-0679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33984804 | Other | TX | SPECIALITY |
| 49162 | Other | TX | SPECIALITY PHARMACY |
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 |
|---|---|---|---|
| 49126 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1831602127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5721 TRIBUNE WAY",
"city": "PLANO",
"state": "TX",
"postal_code": "75094",
"telephone_number": "619-417-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 TRIBUNE WAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750944505",
"telephone_number": "619-417-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEKA",
"first_name": "WONDWOSSEN",
"middle_name": "ZEWDE",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-09",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIALITY",
"identifier": "33984804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIALITY PHARMACY",
"identifier": "49162",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.