Individual provider Active NPI

Amanuel Bariageber

  • Pharmacist
  • Murfreesboro, TN
National Provider Identifier
1902202500
Registry record updated Nov 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000034758 Issued in TN
Practice address
1131 Mercury Blvd
Murfreesboro, TN 37130-4812
Phone
(615) 890-5911
NPI assigned
Nov 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0000034758 TN Primary
Pharmacist 183500000X RPH028175 GA
Pharmacist 183500000X PH100001141 DC

Addresses

Primary practice location

1131 Mercury Blvd
Murfreesboro, TN 37130-4812

Mailing address

1131 Mercury Blvd
Murfreesboro, TN 37130-4812
Phone (615) 890-5911

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

LicenseStateTypeSpecialty
PH100001141DCMDPharmacist
RPH028175GAMDPharmacist
0000034758TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Apr 24, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415404800000",
    "number": "1902202500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 MERCURY BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304812",
            "telephone_number": "615-890-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MERCURY BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304812",
            "telephone_number": "615-890-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARIAGEBER",
        "first_name": "AMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000034758",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028175",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100001141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.