Active NPI
AIDS Healthcare Foundation
- Community/Retail Pharmacy
- Washington, DC
National Provider Identifier
1033899323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 650 Pennsylvania Ave SE Ste 380
Washington, DC 20003-4349 - Phone
- (202) 350-5005
- NPI assigned
- Jul 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Scott Carruthers
- Title
- Chief of Pharmacy
- Phone
- (323) 860-5266
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
650 Pennsylvania Ave SE Ste 380
Washington, DC 20003-4349
Mailing address
18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211104000426 | DC | Part B Supplier - Pharmacy | 2668369109 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Washington, DC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- AIDS Health Foundation
Locations
650 Pennsylvania Ave SE
Ste 380
Washington, DC 20003
Phone (202) 350-5005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1033899323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18421 S MAIN ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484609",
"telephone_number": "310-999-6089",
"fax_number": "833-261-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PENNSYLVANIA AVE SE STE 380",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034349",
"telephone_number": "202-350-5005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-20",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "CARRUTHERS",
"authorized_official_first_name": "KENNETH SCOTT",
"authorized_official_title_or_position": "CHIEF OF PHARMACY",
"authorized_official_telephone_number": "323-860-5266"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.