DR. JACOB W TESFAMARIAM (NPI# 1760826994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760826994 |
| Entity Type | Individual |
| Full Name | DR. JACOB W TESFAMARIAM |
| Credential | PHARMD |
| Practice Address |
10 Snyder Ave Philadelphia PA 19148-2700 |
| Mailing Address |
3249 N Park Ave Philadelphia PA 19140-5210 |
| Practice Telephone | 2154653270 |
| Mailing Telephone | 6466410666 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 28RI03503900 | NJ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP446883 | PA | Pharmacy Service Providers |
| Street Address |
10 SNYDER AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368237 | Lauren Helena Mcdaniel | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2020-08-30 |
| 1699257865 | Cortney Smith | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2018-09-04 |
| 1023522158 | Rosul Alsharqi | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2017-11-28 |
| 1235656190 | Kathy Trinh | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2017-08-23 |
| 1255873436 | Abigail M Baltz | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2016-11-05 |
| 1881047785 | Anna Attia | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2016-07-15 |
| 1780099440 | Natalie Lumbab | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2014-06-20 |
| 1245546787 | Monica Pobee | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2010-08-22 |
| 1023323631 | Kristina Bowser | Pharmacist | 10 Snyder Ave, Philadelphia, PA 19148-2700 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1639797574 | Nikia Moody | Pharmacist | 3300 S Broad St, Philadelphia, PA 19145-5802 | 2020-07-07 |
| 1730706136 | William Galson | Pharmacist | 2732 E Venango St, Philadelphia, PA 19134-6121 | 2020-07-01 |
| 1801413489 | Kim-anh Tran | Pharmacist | 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 | 2020-06-30 |
| 1376160374 | Amjad Azzawe | Pharmacist | 1335 Mount Vernon St, Philadelphia, PA 19123-3211 | 2020-06-25 |
| 1861017345 | Alice Hong Chandler | Pharmacist | 1405 S 10th St # At, Philadelphia, PA 19147-5608 | 2020-06-10 |
| 1710509518 | Nicholas Jospeh Carroll | Pharmacist | 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 | 2020-05-14 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1871129809 | Adina Klingman | Pharmacist | 5800 Woodland Ave, Philadelphia, PA 19143-5918 | 2020-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.