Active NPI
Tegegne Fenta
- Pharmacist
- Lamesa, TX
National Provider Identifier
1952908873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1769426
- Practice address
- 2304 Lubbock Hwy
Lamesa, TX 79331-2716 - Phone
- (806) 872-8810
- NPI assigned
- Oct 4, 2020
- Last updated
- Oct 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1769426 | TX | Primary |
Addresses
Primary practice location
2304 Lubbock Hwy
Lamesa, TX 79331-2716
Mailing address
1606 82ND St Apt 1826
Lubbock, TX 79423-2683
Phone (240) 354-6963
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 |
|---|---|---|---|
| 1769426 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601769600000",
"number": "1952908873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 82ND ST APT 1826",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794232683",
"telephone_number": "240-354-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 LUBBOCK HWY",
"city": "LAMESA",
"state": "TX",
"postal_code": "793312716",
"telephone_number": "806-872-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTA",
"first_name": "TEGEGNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-04",
"last_updated": "2020-10-04",
"certification_date": "2020-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "1769426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lamesa, TX
- Dawson County Hospital District (Chowpacknam Family Healthcare)
- Dawson County Hospital District (Medical Arts Specialty Annex)
- Dawson County Senior Citizens Center Inc
- El Paso Sunny Hills Family Dental, PLLC
- Amy Leigh Elliott, FNP-BC
- Fpacp Lamesa LLC
- Joshua Klaus Freitag, PT, DPT
- Fresenius Medical Care Lamesa, LLC (Fresenius Kidney Care Stanbaugh Memorial)
- Anthony Gipson, M.D.
- Griengsak Chowpaknam MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.