Active NPI
Kibrom Mahray Woress, PHARMD
- Pharmacotherapy Pharmacist
- Alamo, NM
National Provider Identifier
1952980948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 0202210904
- Practice address
- Hwy 169 MM 29
Alamo, NM 87825-8782 - Phone
- (571) 275-3064
- NPI assigned
- Apr 6, 2021
- Last updated
- Apr 6, 2021
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 0202210904 | VA | Primary |
Addresses
Primary practice location
Hwy 169 MM 29
Alamo, NM 87825-8782
Mailing address
PO Box 1504
Alamo, NM 87825-1504
Phone (571) 275-3064
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202210904 | VA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1952980948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1504",
"city": "ALAMO",
"state": "NM",
"postal_code": "878251504",
"telephone_number": "571-275-3064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 169 MM 29",
"city": "ALAMO",
"state": "NM",
"postal_code": "878258782",
"telephone_number": "571-275-3064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORESS",
"first_name": "KIBROM",
"middle_name": "MAHRAY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "VA",
"license": "0202210904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.