Solomon Tesfaye Abera, PHARMD
Individual provider Active NPI Pharmacist · Bel Air, MD
NPI 1982184255 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1982184255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24420 (MD)
- Practice address
- 580 Marketplace Dr
Bel Air, MD 21014-4310 - Phone
- (410) 638-9031
- NPI assigned
- Aug 16, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24420 | MD | MD | Pharmacist |
| 0202215702 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202215702 | VA | |
| Pharmacist | 183500000X | 24420 | MD | Yes |
Addresses
Primary practice location
580 Marketplace Dr
Bel Air, MD 21014-4310
Mailing address
735 Sligo Ave Apt 311
Silver Spring, MD 20910-4749
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.