DISTRICT OF COLUMBIA CVS PHARMACY, LLC (NPI# 1295052157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295052157 |
| Entity Type | Organization |
| Organization Name | DISTRICT OF COLUMBIA CVS PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY# 02787 |
| Practice Address |
3642 Georgia Ave Washington DC 20010 |
| Mailing Address |
1 Cvs Dr Box 1075- Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 2027222735 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-10-15 |
| 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 |
|---|---|---|---|
| NCPDP | 0904690 | 01 | |
| DC | 080815600 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy# 02787 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730319708 | District of Columbia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 5335 Wisconsin Ave Nw, Washington, DC 20015-2030 | 2009-07-23 |
| Street Address |
3642 GEORGIA AVE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| 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 | 20010 |
Please comment or provide details below to improve the information on DISTRICT OF COLUMBIA CVS PHARMACY, LLC.
| 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.