Active NPI
Getachew Ali Amedie, PHARMACIST
- Pharmacist
- Palmyra, VA
National Provider Identifier
1922725977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202220329
- Practice address
- 28 Abby Rd
Palmyra, VA 22963-2085 - Phone
- (434) 589-2278
- NPI assigned
- Oct 20, 2022
- Last updated
- Oct 20, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN694097 | PA | |
| Pharmacist | 183500000X | RP456546 | PA | |
| Pharmacist | 183500000X | 0202220329 | VA | Primary |
Addresses
Primary practice location
28 Abby Rd
Palmyra, VA 22963-2085
Mailing address
28 Abby Rd
Palmyra, VA 22963-2085
Phone (434) 589-2278
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 |
|---|---|---|---|
| RN694097 | PA | MD | Emergency Registered Nurse |
| RP456546 | PA | MD | Pharmacist |
| 0202220329 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1922725977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 ABBY RD",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229632085",
"telephone_number": "434-589-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 ABBY RD",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229632085",
"telephone_number": "434-589-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEDIE",
"first_name": "GETACHEW",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "PA",
"license": "RN694097",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP456546",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202220329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmyra, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.