BELLEVUE PHARMACY LLC (NPI# 1740630862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740630862 |
Entity Type | Organization |
Organization Name | BELLEVUE PHARMACY LLC |
Practice Address |
3939 S Capitol St Sw Washington DC 20032-2308 |
Mailing Address |
3939 S Capitol St Sw Suite C1 Washington DC 20032-2308 |
Practice Telephone | 2026294221 |
Practice Fax Number | 2026294592 |
Mailing Telephone | 3014046067 |
Enumeration Date | 2016-06-20 |
Last Update Date | 2019-08-05 |
Authorized Official Name | MR. KAPIAMBA MUTEBA (OWNER) |
Authorized Official Telephone | 3014046067 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BELLEVUE PHARMACY LLC | 3939 South Capitol St. Sw, Washington, DC 20032-2308 |
Street Address |
3939 S CAPITOL ST SW |
City | WASHINGTON |
State | DC |
Zip Code | 20032-2308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
Find all providers in zip 20032 |
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] |
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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 |
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 |
1366969040 | Mercy Pharmacy Services, LLC | Pharmacy | 851 E 5th St Ste 104, Washington, MO 63090-3128 | 2017-08-24 |
1982121893 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 800 Maine Ave, Sw, Washington, DC 20024 | 2017-08-23 |
1891217618 | Healthdirect Institutional Pharmacy Services Inc | Pharmacy | 1100 W Chestnut St Ste 200, Washington, PA 15301 | 2017-07-13 |
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 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20032 |
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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.