SAMSON GOITOM TESFASELASSIE
NPI 1013647338
Pharmacist in Forney, TX

Active since June 10, 2022

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samson Goitom Tesfaselassie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMSON GOITOM TESFASELASSIE (NPI 1013647338) is an individual pharmacist in Forney, Texas, licensed in Texas (62052) and active in the NPI registry since June 2022. He maintains a secondary practice location in Garland.

NPPES Registry Identity

NPI1013647338
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSAMSON GOITOM TESFASELASSIE
Location Address451 FM 548Forney, TX 75126-6288
Mailing Address2625 Empire Dr Apt 5127Richardson, TX 75080-0111 · (773) 319-2437
Sole ProprietorNo
Enumeration DateJune 10, 2022
NPPES CertifiedJune 10, 2022
NPI 1013647338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 62052
Definition

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.

451 FM 548, Forney, TX 75126

Secondary Practice Location 1

Location 15950 Broadway BlvdGarland, TX 75043-5822 · Phone (972) 303-3191

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
451 FM 548
FORNEY, TX 75126
Pharmacist
451 FM 548
FORNEY, TX 75126
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
451 FM 548
FORNEY, TX 75126
Pharmacy
451 FM 548
FORNEY, TX 75126
Pharmacist
451 FM 548
FORNEY, TX 75126
Pharmacist
451 FM 548
FORNEY, TX 75126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samson Tesfaselassie's NPI number?

The NPI number for Samson Tesfaselassie is 1013647338. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Where is Samson Tesfaselassie located?

Samson Tesfaselassie practices at 451 Fm 548, Forney, TX 75126. The listed phone number is (972) 552-1633.

What is Samson Tesfaselassie's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Samson Tesfaselassie was last updated on June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.