Etel Pharmacy
NPI 1780279604 · Community/Retail Pharmacy · Saint Paul, MN
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Etel Pharmacy is a Community/Retail Pharmacy organization in Saint Paul, MN (NPI 1780279604).
Provider details
- NPI number
- 1780279604
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Bishaw Ditamo, Pharmacist in Charge/Pharmacist(651) 414-9547
Specialties & taxonomies
Suppliers
Profile Score
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
3 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Etel Pharmacy
Additional practice locations (2)
- 3837 Heather DrEagan, MN 55122-1624Phone: (651) 785-8280
- 2509 7th St WSaint Paul, MN 55116-2837Phone: (651) 785-8280Fax: (612) 440-2238
Registry dates
- Enumerated
- 2021-03-03
- Last updated
- 2021-05-23
- Certified
- 2021-05-23
Frequently asked questions
- What is Etel Pharmacy's NPI number?
- Etel Pharmacy's National Provider Identifier (NPI) is 1780279604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Etel Pharmacy?
- Etel Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Etel Pharmacy located?
- Etel Pharmacy's practice location on file with NPPES is 2509 7th St W, Saint Paul, MN 55116-2837.
- What is Etel Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Etel Pharmacy is (651) 785-8280.
- Does Etel Pharmacy accept Medicare?
- Etel Pharmacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Etel Pharmacy?
- The authorized official listed on Etel Pharmacy's NPPES record is Bishaw Ditamo, Pharmacist in Charge/Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Etel Pharmacy's NPI active?
- Yes — Etel Pharmacy's NPI (1780279604) is active in the NPPES registry as of the last update on 2021-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.