Active NPI
Amos Michael Weldegebriel, R.PH.
- Pharmacist
- Mexia, TX
National Provider Identifier
1952894933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62274
- Practice address
- 540 Chapel Dr
Mexia, TX 76667-3490 - Phone
- (254) 562-1387
- NPI assigned
- Jun 13, 2018
- Last updated
- Jun 13, 2018
- 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 | 62274 | TX | Primary |
Addresses
Primary practice location
540 Chapel Dr
Mexia, TX 76667-3490
Mailing address
210 Drake LN
Garland, TX 75043-8904
Phone (785) 341-7183
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62274 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1952894933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 DRAKE LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750438904",
"telephone_number": "785-341-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 CHAPEL DR",
"city": "MEXIA",
"state": "TX",
"postal_code": "766673490",
"telephone_number": "254-562-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDEGEBRIEL",
"first_name": "AMOS",
"middle_name": "MICHAEL",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mexia, TX
- Paola Valdez
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0248)
- Wal-Mart Stores Texas, LP (Vision Center 30-0248)
- Sheila Wallitsch, PTA
- Jason Elliot Watson, LPC
- West Wharton County Hospital District (Avir at Sumpter)
- Savannah Wetzler, PA
- Donna Elaine Winstead
- Samantha Leeann Wright
- Sara Elena Ybarra, CPR INSTRUCTOR CERT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.