DR. FANTAHUN YIMAM (PHARM.D.) – Nutrition Support Pharmacist, NPI 1962534420

DR. FANTAHUN YIMAM (PHARM.D.) is a healthcare provider. based in Lubbock, Texas. specializing in Nutrition Support Pharmacist. They hold the professional credentials PHARM.D.. They hold a License No. 36401 (TX). The NPI Number for DR. FANTAHUN YIMAM (PHARM.D.) is 1962534420

Main info

Male
Name
DR. FANTAHUN YIMAM (PHARM.D.)
NPI
1962534420
Phone
(806) 798-2291
Address
4605 102ND ST
Enumeration Date
11 March 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. FANTAHUN YIMAM (PHARM.D.)

  • 4605 102ND ST

    LUBBOCK, TX 794247406

    Phone: (806) 798-2291

    Fax: (806) 725-0305

    Type: Mailing

  • 3615 19TH ST

    LUBBOCK, TX 794101203

    Phone: (806) 725-0419

    Fax: (806) 725-0305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79424)

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Reviews

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Frequently asked questions

How is DR. FANTAHUN YIMAM (PHARM.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. FANTAHUN YIMAM (PHARM.D.) with NPI 1962534420.
Is DR. FANTAHUN YIMAM (PHARM.D.) listed as active for patients and plans?
The listing shows DR. FANTAHUN YIMAM (PHARM.D.) as active in the NPI system.
What healthcare role does DR. FANTAHUN YIMAM (PHARM.D.) hold?
Scheduling teams often label DR. FANTAHUN YIMAM (PHARM.D.) under Nutrition Support Pharmacist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. FANTAHUN YIMAM (PHARM.D.) on a map?
Expect Lubbock, Texas as a primary anchor for DR. FANTAHUN YIMAM (PHARM.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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