NPIMap

Whitman-Walker Clinic Inc.

Organization Active NPI Community/Retail Pharmacy · Washington, DC

NPI 1033239124 · NPPES record last updated Dec 27, 2023

Key facts

NPI
1033239124
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
RX0000093 (DC)
Legal business name
WHITMAN-WALKER CLINIC INC.
Practice address
1525 14TH St NW
Washington, DC 20005-3706
Phone
(202) 745-6135
Fax
(806) 242-6183
NPI assigned
Mar 30, 2007
Organization subpart
No

Authorized official

Name
Joel Wright
Title
President Pharmacy Services
Phone
(806) 242-7782

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Whitman-Walker Clinic Inc
1525 14TH St NW, Washington, DC 20005-3706 · (866) 724-1805		 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignment
Participating since Jan 1, 1997

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190214002694 DC DME Supplier - Pharmacy 6507755196 Practice locations: Washington, DC
O20240624004604 DC Part B Supplier - Pharmacy 6507755196 1 other NPI on this enrollment
Practice locations: Washington, DC

National Provider Directory

Tax ID family
Whitman Walker Clinic Inc (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P07609 MD
Pharmacy 333600000X 0214001958 VA
Community/Retail Pharmacy 3336C0003X RX0000093 DC Yes

Addresses

Primary practice location

1525 14TH St NW
Washington, DC 20005-3706

Mailing address

320 S Polk St Ste 200
Amarillo, TX 79101-1436
Phone (806) 242-7782

Other identifiers

IdentifierTypeStateIssuer
022389500MedicaidDC
2004695OtherPK
402773600MedicaidMD
2019052699MedicaidVA

Other names

  • WHITMAN-WALKER CLINIC PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 27, 2023.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1033239124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S POLK ST STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791011436",
            "telephone_number": "806-242-7782",
            "fax_number": "806-242-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053706",
            "telephone_number": "202-745-6135",
            "fax_number": "806-242-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITMAN-WALKER CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT PHARMACY SERVICES",
        "authorized_official_telephone_number": "806-242-7782"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "P07609",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0214001958",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "RX0000093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022389500",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004695",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402773600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019052699",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITMAN-WALKER CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

All providers in Washington, DC · Community/Retail Pharmacy in District of Columbia

Sources for this page

Verify at the official NPI Registry.