Active NPI
Raymonda Kondos
- Pharmacist
- Washington, DC
National Provider Identifier
1063096931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100000304
- Practice address
- 4215 Connecticut Ave NW Ste 1
Washington, DC 20008-1159 - Phone
- (202) 244-7979
- Fax
- (202) 244-7977
- NPI assigned
- May 7, 2021
- Last updated
- May 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH100000304 | DC | Primary |
Addresses
Primary practice location
4215 Connecticut Ave NW Ste 1
Washington, DC 20008-1159
Mailing address
4215 Connecticut Ave NW Ste 1
Washington, DC 20008-1159
Phone (202) 244-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH100000304 | Other | DC | BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100000304 | DC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Ness Pharmacy LLC | Current | Accepting new patients |
Locations
4215 Connecticut Ave NW
Ste 1
Washington, DC 20008
Phone (202) 244-7979
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pill Plus Pharmacy
- Community/Retail Pharmacy
- Washington, DC
- NPI 1588286876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1063096931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 CONNECTICUT AVE NW STE 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200081159",
"telephone_number": "202-244-7979",
"fax_number": "202-244-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 CONNECTICUT AVE NW STE 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200081159",
"telephone_number": "202-244-7979",
"fax_number": "202-244-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDOS",
"first_name": "RAYMONDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100000304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PH100000304",
"state": "DC"
}
],
"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 May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.