DISTRICT OF COLUMBIA CVS PHARMACY LLC (NPI# 1245335074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245335074 |
| Entity Type | Organization |
| Organization Name | DISTRICT OF COLUMBIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #01362 |
| Practice Address |
4309 Connecticut Ave Nw Washington DC 20008-2305 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2029663023 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-03-02 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0900565 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #01362 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
| 1104474683 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1515 New York Ave Ne, Washington, DC 20002-1744 | 2019-08-28 |
| 1013565597 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 4500 Wisconsin Ave Nw, Washington, DC 20016-4628 | 2019-08-28 |
| 1245794254 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7828 Georgia Ave Nw, Washington, DC 20012-1305 | 2019-01-23 |
| 1942781810 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 1101 New York Ave Nw, Washington, DC 20005-4269 | 2018-08-28 |
| 1982121893 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 800 Maine Ave, Sw, Washington, DC 20024 | 2017-08-23 |
| 1629475694 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 645 H St Ne, Washington, DC 20002-4347 | 2014-11-19 |
| 1275941445 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3700 Newark St, Nw, Washington, DC 20016-3808 | 2014-07-31 |
| 1366850539 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3700 Newark St Ave Nw, Washington, DC 20016-3808 | 2014-07-31 |
| 1255604310 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2601 Connecticut Ave Nw, Washington, DC 20008-1522 | 2012-02-20 |
| Street Address |
4309 CONNECTICUT AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20008-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548882889 | Jeremiah Hicks | Pharmacist | 4309 Connecticut Ave Nw, Washington, DC 20008-2305 | 2020-05-09 |
| 1518365634 | Adam M Fanelle | Pharmacist | 4309 Connecticut Ave Nw, Washington, DC 20008-2305 | 2014-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668233 | Ana Merino | Adult Companion | 2231 Bancroft, Washington, DC 20008 | 2020-10-30 |
| 1497371884 | Shannon A Morning | Technician | 4850 Connecuit Ave Nw, 503, Washington, DC 20008 | 2020-06-22 |
| 1588286876 | Van Ness Pharmacy LLC | Pharmacy | 4215 Connecticut Ave St #1 Nw, Washington, DC 20008 | 2020-05-11 |
| 1013552223 | Adam D Schwartz Dds PC | Dentist | 4545 Connecticut Avenue Nw Suite 419, Washington, DC 20008 | 2019-11-12 |
| 1588205629 | Good Food Nutrition Group, LLC | Dietitian, Registered | 2820 Ordway St Nw, Washington, DC 20008 | 2019-09-30 |
| 1770141921 | Fiona Griffin | Counselor | The Body Image Therapy Center, 2639 Connecticut Ave Nw Suite 251, Washington, DC 20008 | 2019-06-03 |
| 1225513476 | Shelley A Rockwell | Psychologist | 3303 Macamb Street N.w., Washington, DC 20008 | 2018-10-03 |
| 1053899930 | Sublime Kidz, LLC | Occupational Therapist | 4550 Connecticut Ave Nw Apt 307, Washington, DC 20008 | 2018-08-01 |
| 1730699117 | Francesca Marie Pascucci | Behavioral Analyst | 4849 Connecticut Avenue Nw, Apt. #0208, Washington, DC 20008 | 2017-10-11 |
| 1073038808 | Andrea Lauryn Kenoff | Social Worker | 4601 Connecticut Avenue Northwest, Apartment 511, Washington, DC 20008 | 2017-08-14 |
| Find all providers in zip 20008 | ||||
| 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 | 20008 |
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.