ABEBE FISSEHA
NPI 1356994933
Pharmacist in Rockford, IL

Active since July 22, 2019
3849 NORTHRIDGE DR, ROCKFORD, IL 61114(815) 636-0333(815) 636-0149 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abebe Fisseha NPPES

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

ABEBE FISSEHA (NPI 1356994933) is an individual pharmacist in Rockford, Illinois, licensed in Illinois (051292525) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1356994933
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameABEBE FISSEHA
Location Address3849 NORTHRIDGE DRRockford, IL 61114-4773
Mailing Address3849 Northridge DrRockford, IL 61114-4773 · (815) 505-2943 · Fax (815) 636-0149
Fax(815) 636-0149
Sole ProprietorNo
Enumeration DateJuly 22, 2019
NPI 1356994933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051292525
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.

3849 NORTHRIDGE DR, Rockford, IL 61114

Other Providers at the Same Location NPPES 5

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

Pharmacy (Community/Retail Pharmacy)
3849 NORTHRIDGE DR
ROCKFORD, IL 61114
Optometrist
3849 NORTHRIDGE DR
ROCKFORD, IL 61114
Optometrist
3849 NORTHRIDGE DR
ROCKFORD, IL 61114
Nurse Practitioner (Family)
3849 NORTHRIDGE DR
ROCKFORD, IL 61114
Eyewear Supplier
3849 NORTHRIDGE DR
ROCKFORD, IL 61114

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 Abebe Fisseha's NPI number?

The NPI number for Abebe Fisseha is 1356994933. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Abebe Fisseha located?

Abebe Fisseha practices at 3849 Northridge Dr, Rockford, IL 61114. The listed phone number is (815) 636-0333.

What is Abebe Fisseha'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 Abebe Fisseha was last updated on July 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.