Provider Demographics
NPI:1043571920
Name:ZEMENFES, TSEHAYE K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TSEHAYE
Middle Name:K
Last Name:ZEMENFES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 784
Mailing Address - Street 2:
Mailing Address - City:MAGDALENA
Mailing Address - State:NM
Mailing Address - Zip Code:87825-0784
Mailing Address - Country:US
Mailing Address - Phone:202-735-8215
Mailing Address - Fax:
Practice Address - Street 1:MM 29 OF HIGHWAY 169
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:NM
Practice Address - Zip Code:87825
Practice Address - Country:US
Practice Address - Phone:575-854-2610
Practice Address - Fax:575-854-2528
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP000085191835P2201X
DCPH100000941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care