Active NPI
Mesfin Gebresilassie Markos
- Pharmacist
- El Paso, TX
National Provider Identifier
1861904278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66528
- Practice address
- 1780 N Lee Trevino Dr
El Paso, TX 79936-4522 - Phone
- (915) 599-9000
- Fax
- (915) 208-4674
- NPI assigned
- Oct 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0002006763 | CO | |
| Pharmacist | 183500000X | 66528 | TX | Primary |
Addresses
Primary practice location
1780 N Lee Trevino Dr
El Paso, TX 79936-4522
Mailing address
12641 Katherine Brennand Rd
El Paso, TX 79928-5892
Phone (720) 288-3547
Other practice location 1
18643 E LaSalle Pl
Aurora, CO 80013-6445
Phone (720) 288-3547
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 |
|---|---|---|---|
| 66528 | TX | MD | Clinical Social Worker |
| 0002006763 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733529600000",
"number": "1861904278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12641 KATHERINE BRENNAND RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799285892",
"telephone_number": "720-288-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 N LEE TREVINO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364522",
"telephone_number": "915-599-9000",
"fax_number": "915-208-4674"
}
],
"practiceLocations": [
{
"address_1": "18643 E LaSalle Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800136445",
"country_code": "US",
"telephone_number": "720-288-3547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARKOS",
"first_name": "MESFIN",
"middle_name": "GEBRESILASSIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-26",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "0002006763",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.