DR. JEWELL J REDDICK (NPI# 1033693767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033693767 |
| Entity Type | Individual |
| Full Name | DR. JEWELL J REDDICK |
| Credential | PHARMD |
| Practice Address |
700 2nd St Ne Washington DC 20002-8100 |
| Mailing Address |
400 Galloway St Ne Apt 215n Washington DC 20011-6449 |
| Practice Telephone | 2023463000 |
| Mailing Telephone | 8504596300 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS42987 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH100000514 | DC | Pharmacy Service Providers |
| Street Address |
700 2ND ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114996 | Piyapong Vongkovit | Internal Medicine | 700 2nd St Ne, Washington, DC 20002-8100 | 2005-06-16 |
| 1225640907 | Hycenta Ndosoh Halle | Registered Nurse | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-08-23 |
| 1568083822 | Michelle Yeung | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-04-28 |
| 1285253138 | Seth A Keating | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-04-10 |
| 1982231460 | Kiana Deneen Mack | Pharmacy Technician | 700 2nd St Ne, Washington, DC 20002-8100 | 2020-03-25 |
| 1285272369 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 700 2nd St Ne, Washington, DC 20002-8100 | 2019-12-19 |
| 1720594997 | Nathan Redington | Physical Therapist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-12-23 |
| 1558875765 | Sheryl Lynn Canlas | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-11-27 |
| 1114456092 | Jacinda Thieu-tran Tran | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-06-05 |
| 1487182762 | Louis Ledan | Pharmacist | 700 2nd St Ne, Washington, DC 20002-8100 | 2017-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484569 | Curative Labs Inc. | Clinical Medical Laboratory | 3330 New York Ave Ne, Washington, DC 20002 | 2020-07-07 |
| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
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| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941967 | Shahad Abdulaaima | Pharmacist | 1400 7th St Nw, Washington, DC 20001-3387 | 2020-11-01 |
| 1245830587 | Sharon Ann Mowery | Pharmacist | 215 Coachside Dr, Washington, PA 15301-8963 | 2020-10-27 |
| 1568075463 | Brent West | Pharmacist | 19 W Clover Ln, Washington, UT 84780-8208 | 2020-08-28 |
| 1417569344 | Bryan Mark Snapp | Pharmacist | 1220 L St Nw Ste 900, Washington, DC 20005-4018 | 2020-08-21 |
| 1285270504 | Tyika Bassagou | Pharmacist | 1815 Conn Ave Nw, Washington, DC 20009-5702 | 2019-11-21 |
| 1477199818 | Kenneth Walter Stachnik | Pharmacist | 214 Hillman St, Washington, IL 61571-9750 | 2019-11-20 |
| 1528602745 | O'neal Ford Jr. | Pharmacist | 2646 Naylor Rd Se, Washington, DC 20020-7269 | 2019-10-31 |
| 1962053975 | Erica B Shepperd-debnam | Pharmacist | 3700 Newark St Nw, Washington, DC 20016-3036 | 2019-09-23 |
| 1225685928 | Andrew D Wherley | Pharmacist | 7059 Blair Rd Nw Ste 101, Washington, DC 20012-1960 | 2019-08-19 |
| 1114581105 | Gidey Amare | Pharmacist | 441 4th St Nw Ste 900s, Washington, DC 20001-2714 | 2019-04-25 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
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| 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.