NPI age
19 years
Enumerated 2007-03-11
● Active
Type 1 · Individual
DR. Fantahun Yimam, PHARM.D.
Yimam is 1 of 4 pharmacist providers in Lubbock and 1 of 27 in Texas.
Primary specialty
Pharmacist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 27 active pharmacist providers in Texas.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
3615 19th St
Lubbock, TX 794101203
Mailing address
4605 102nd St
Lubbock, TX 794247406
Specialties
-
Pharmacist PrimaryA 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.
Practice context
Part of a multi-provider practice. 94 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.