Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kidist Tsegaye Bishaw

Individual provider Pharmacist · NPI 1083226971

Kidist Tsegaye Bishaw is a Pharmacist in Port Arthur, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

3700 Highway 365
Port Arthur, TX 77642-7709
Phone: (409) 724-1914
Fax: (409) 724-0846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 60487 (TX)

Record details

NPI number1083226971
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2020
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

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