DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. (NPI# 1023112091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023112091 |
| Entity Type | Organization |
| Organization Name | DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 02174 |
| Practice Address |
4555 Wisconsin Ave Nw Washington DC 20016-4619 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2025371459 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0903573 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 02174 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619127172 | District of Columbia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2129 14th St Nw, Washington, DC 20009 | 2008-09-22 |
| 1891944658 | District of Columbia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 Pennsylvania Ave Nw, Washington, DC 20006-1812 | 2008-09-16 |
| 1881773331 | District of Columbia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1117 10th Street, Unit C-1, Washington, DC 20001 | 2006-11-03 |
| 1427153253 | District of Columbia Cvs Pharmacy, L.L.C. | Pharmacy | 1100 4th St Sw, Washington, DC 20024-4451 | 2006-09-14 |
| 1114022944 | District of Columbia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6 Dupont Cir Nw, Washington, DC 20036-1108 | 2006-09-14 |
| 1639274483 | District of Columbia Cvs Pharmacy, L.L.C. | Pharmacy | 1199 Vermont Ave Nw, Washington, DC 20005-3519 | 2006-09-14 |
| 1972608701 | District of Columbia Cvs Pharmacy, L.L.C. | Pharmacy | 128 Kennedy St Nw # 130, Washington, DC 20011-5213 | 2006-09-14 |
| 1720183577 | District of Columbia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 661 Pennsylvania Ave Se, Washington, DC 20003-4303 | 2006-09-14 |
| 1063517894 | District of Columbia Cvs Pharmacy, L.L.C. | Pharmacy | 3240 Pennsylvania Ave Se, Washington, DC 20020-3712 | 2006-09-14 |
| 1295839264 | District of Columbia Cvs Pharmacy, L.L.C. | Pharmacy | 1418 P St Nw, Washington, DC 20005-1908 | 2006-09-12 |
| Street Address |
4555 WISCONSIN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790329720 | Nicole Monica Papel | Nurse Practitioner | 4555 Wisconsin Ave Nw, Washington, DC 20016-4619 | 2019-11-02 |
| 1629527866 | Martha Amiewalan | Nurse Practitioner | 4555 Wisconsin Ave Nw, Washington, DC 20016-4619 | 2016-09-29 |
| 1275980682 | Afsaneh Barahmand | Nurse Practitioner | 4555 Wisconsin Ave Nw, Washington, DC 20016-4619 | 2016-05-16 |
| 1619229457 | Melinda Pritchett | Nurse Practitioner | 4555 Wisconsin Ave Nw, Washington, DC 20016-4619 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507755 | Genoa Healthcare, LLC | Pharmacy | 2007 State St Ste 110, Washington, IN 47501-8505 | 2020-01-15 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| 1407353816 | Ramdass Pharmaceuticals Inc | Pharmacy | 475 Ingraham St Ne, Washington, DC 20011-2602 | 2018-04-11 |
| 1043748569 | Shree Ohm Inc | Pharmacy | 64580 Van Dyke Rd Ste D, Washington, MI 48095 | 2017-05-28 |
| 1508309253 | Joedat International Inc | Pharmacy | 1516 N Capitol St Nw, Washington, DC 20002-3344 | 2016-11-29 |
| 1588015937 | Cary Rx Incorporated | Pharmacy | 1300 7th St Nw Ste 200, Washington, DC 20001-3504 | 2016-06-28 |
| 1518384940 | Alex Pharm LLC | Pharmacy | 5185 Macarthur Blvd Nw # 107, Washington, DC 20016-3341 | 2014-03-24 |
| 1932449923 | Triple Alliance Pharmacy, Inc | Pharmacy | 1219 Brentwood Rd Ne, Washington, DC 20018 | 2013-02-27 |
| 1477899375 | Genoa Healthcare, LLC | Pharmacy | 801 Pennsylvania Ave Se Ste 120, Washington, DC 20003-2167 | 2012-12-20 |
| 1508117664 | Central Pharmacy LLC | Pharmacy | 2202 Martin Luther King Jr Avenue Se, Washington, DC 20020 | 2012-09-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
Please comment or provide details below to improve the information on DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.