IndividualActive
Kidu Tesfamichael
NPI 1518567528 · Pharmacist · Port Lavaca, TX
Kidu Tesfamichael is a Pharmacist provider in Port Lavaca, TX (NPI 1518567528).
Provider details
- NPI number
- 1518567528
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 55723 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Tiney Browning Blvd
Port Lavaca, TX 77979-5215
Phone: (361) 552-3525
Fax: (361) 552-9616
Street-level locationGet directions
Mailing address
400 Tiney Browning Blvd
Port Lavaca, TX 77979-2425
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Kidu Tesfamichael's NPI number?
- Kidu Tesfamichael's National Provider Identifier (NPI) is 1518567528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kidu Tesfamichael's specialty?
- Kidu Tesfamichael is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kidu Tesfamichael located?
- Kidu Tesfamichael's practice location on file with NPPES is 400 Tiney Browning Blvd, Port Lavaca, TX 77979-5215.
- What is Kidu Tesfamichael's phone number?
- The practice phone number listed in the NPPES registry for Kidu Tesfamichael is (361) 552-3525.
- Is Kidu Tesfamichael's NPI active?
- Yes — Kidu Tesfamichael's NPI (1518567528) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.