Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093045460 Individual Practitioner Female Practitioner

Dr. Kidest-Mimi Agonafer Demesse , PharmD

Pharmacist • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kidest-Mimi Demesse, PharmD is a registered healthcare professional specializing in Pharmacist in Dallas, TX. Practice services are available at 4500 S LANCASTER RD # 119 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 S Lancaster Rd # 119

Dallas, TX 752167167

Telephone 2147428387
Fax 2148570585
Associated Practice Facility / Clinic
🏢 Vantxhcs Facility NPI 1598870677

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
1102 Specialists

Practicing in Dallas, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 48265

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jilly Nyangor

Pharmacist

NPI 1003678954
Sue Chi

Pharmacist

NPI 1003924515
NPI 1013787308

Licensed Master Social Worker

NPI 1023102852
NPI 1023272721

Doctor of Pharmacy (Pharm.D.)

Rachel Gratz , PA

Physician Assistant

NPI 1023668688

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 07, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2010

Registered at 4500 S LANCASTER RD # 119, DALLAS, TX 752167167 (Tel: 2147428387)

📍
Updated Business Mailing Address January 07, 2010

Registered at 4500 S LANCASTER RD # 119, DALLAS, TX 752167167 (Tel: 2147428387)

👤
Provider Name / Credentials Updated January 07, 2010

Recorded as KIDEST-MIMI DEMESSE, PHARM.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2010

Pharmacist (License #48265 in TX)

🟢
Initial NPI Registration & Enumeration January 07, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093045460
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2010
Last Update: January 07, 2010
Sole Proprietor: Yes

Mailing Address

4500 S Lancaster Rd # 119

Dallas, TX 752167167

Phone: 2147428387

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.