Individual provider Active NPI

Angela Bryant

  • Pharmacist
  • Washington, DC
National Provider Identifier
1285238261
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHC3316 Issued in DC
Practice address
1601 17TH St NW
Washington, DC 20009-2403
Phone
(202) 588-0186
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHC3316 DC Primary

Addresses

Primary practice location

1601 17TH St NW
Washington, DC 20009-2403

Mailing address

1601 17TH St NW
Washington, DC 20009-2403
Phone (202) 588-0186

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

LicenseStateTypeSpecialty
PHC3316DCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Pharmacy, L.L.C. CurrentSince Feb 7, 2021 Accepting new patients
Procare Pharmacy, LLC. PastSince Dec 6, 2020 Accepting new patients

Locations

1601 17th St NW
Washington, DC 20009
Phone (202) 588-0186

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1285238261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 17TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092403",
            "telephone_number": "202-588-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 17TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092403",
            "telephone_number": "202-588-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PHC3316",
            "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 Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.