STATE PHARMACY (NPI# 1205961489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205961489 |
| Entity Type | Organization |
| Organization Name | STATE PHARMACY |
| Practice Address |
2041 Martin Luther King Ave Suite 100 Se Washington DC 20020 |
| Practice Telephone | 2026102100 |
| Practice Fax Number | 2026101078 |
| Mailing Telephone | 2026102100 |
| Mailing Fax Number | 2026101078 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | DR. MARIE NKINANG BIBUM (PRESIDENT) |
| Authorized Official Telephone | 2026102100 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | RX0300330 | DC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RX0300330 | DC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 034828700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154610558 | State Pharmacy | Pharmacy | 4501 Woodward Ave Ste 104a, Detroit, MI 48201-1890 | 2011-04-06 |
| Street Address |
2041 MARTIN LUTHER KING AVE SUITE 100 |
| City | SE WASHINGTON |
| State | DC |
| Zip Code | 20020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144869736 | Velima Pharmacy | Pharmacy | 4514 Benning Rd Se, Washington, DC 20019-5149 | 2019-12-30 |
| 1013565597 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 4500 Wisconsin Ave Nw, Washington, DC 20016-4628 | 2019-08-28 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1932684354 | Healing Touch LLC | Pharmacy | 4139 Wheeler Rd Se Ste A, Washington, DC 20032-4346 | 2018-10-02 |
| 1942781810 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 1101 New York Ave Nw, Washington, DC 20005-4269 | 2018-08-28 |
| 1003316316 | Whitman-walker Clinic Inc. | Pharmacy | 2303 Martin Luther King Jr Ave Se, Washington, DC 20020 | 2018-02-14 |
| 1982121893 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 800 Maine Ave, Sw, Washington, DC 20024 | 2017-08-23 |
| 1649792581 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009 | 2017-07-12 |
| 1750732970 | Walgreen Co | Pharmacy | 1117 Good Hope Rd Se, Washington, DC 20020 | 2016-06-29 |
| 1538513965 | Upscale Health and Pharmacy | Pharmacy | 6233 Georgia Ave Nw, Washington, DC 20011-5111 | 2016-04-22 |
| Find all providers with the same taxonomy | ||||
| City | SE WASHINGTON |
| Zip Code | 20020 |
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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.