Active NPI
Makda Gebrehiwet, PHARMD
- Pharmacist
- El Cerrito, CA
National Provider Identifier
1942863493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77644
- Practice address
- 670 El Cerrito PLZ
El Cerrito, CA 94530-4010 - Phone
- (510) 524-5895
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 77644 | CA | Primary |
Addresses
Primary practice location
670 El Cerrito PLZ
El Cerrito, CA 94530-4010
Mailing address
130 Shoreline Cir Apt 475
San Ramon, CA 94582-5094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77644 | Other | CA | PHARMACIST LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1942863493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SHORELINE CIR APT 475",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 EL CERRITO PLZ",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945304010",
"telephone_number": "510-524-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREHIWET",
"first_name": "MAKDA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "77644",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Cerrito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.