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DR. FANTAHUN YIMAM PHARM.D.
NPI 1962534420
Pharmacist - Nutrition Support in Lubbock, TX

Active since March 11, 2007
3615 19TH ST, LUBBOCK, TX 79410(806) 725-0419(806) 725-0305 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fantahun Yimam Pharm.d. NPPES

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

DR. FANTAHUN YIMAM PHARM.D. (NPI 1962534420) is an individual nutrition support provider in Lubbock, Texas, licensed in Texas (36401) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1962534420
Entity TypeIndividualMale
Primary Taxonomy1835N1003X
Provider Legal NameDR. FANTAHUN YIMAMCredential: PHARM.D.
Location Address3615 19TH STLubbock, TX 79410-1203
Mailing Address4605 102nd StLubbock, TX 79424-7406 · (806) 798-2291 · Fax (806) 725-0305
Phone(806) 725-0419
Fax(806) 725-0305
Sole ProprietorNo
Enumeration DateMarch 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962534420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers
Taxonomy Code1835N1003X
License✔ Licensed in TX · 36401
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

3615 19TH ST, Lubbock, TX 79410
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Other Providers at the Same Location NPPES 20

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

DR. THELMA WONG SUTTER MD
Specialist
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4212
DR. DOANH K PHAN MD.PA.
Specialist
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4212
DR. HUGH H PAIK MD
Pathology (Anatomic Pathology & Clinical Pathology)
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 744-1887
DR. JONATHAN DAVID SKELTON M.D.
Emergency Medicine
3615 19TH ST, EMERGENCY DEPARTMENT
LUBBOCK, TX 79410
Lubbock County (806) 725-4479
DR. BARRY CRANFILL THOMAS M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288
JAMES CHUA-TUAN M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288
MARK S GITTINGS D.O.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288
NAGARJUN NARRA M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4288

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 Fantahun Yimam's NPI number?

The NPI number for Fantahun Yimam is 1962534420. It was assigned to this individual provider in the NPPES registry on March 11, 2007.

Where is Fantahun Yimam located?

Fantahun Yimam practices at 3615 19th St, Lubbock, TX 79410. The listed phone number is (806) 725-0419.

What is Fantahun Yimam's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

When was this NPI record last updated?

The NPPES record for Fantahun Yimam was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.