District of Columbia CVS Pharmacy, LLC
Organization Active NPI Pharmacy · Washington, DC
NPI 1295052157 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1295052157
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- DISTRICT OF COLUMBIA CVS PHARMACY, LLC
- Practice address
- 3701 New Hampshire Ave NW
Washington, DC 20010-1850 - Phone
- (202) 722-2735
- NPI assigned
- Apr 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Susan F Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Corporate family (same tax ID) 36
Member of 1
Practitioners 5
-
Mehret Y Banjaw, PHARMACIST
-
Amber Glenn, PHARMD
-
Bhavesh Harish Patel, PHARMD
-
Tyler Michael Sahin, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100918000012 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325163025 |
This NPI is an additional NPI on the enrollment Practice locations: Washington, DC |
| O20100930030266 | DC | DME Supplier - Pharmacy | 8325163025 | Practice locations: Washington, DC |
National Provider Directory
- Tax ID family
- CVS Phamacy 07102
Locations
3642 Georgia Ave NW
Washington, DC 20010
Phone (202) 722-2735
3701 New Hampshire Ave NW
Washington, DC 20010
Phone (202) 722-2735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
3701 New Hampshire Ave NW
Washington, DC 20010-1850
Mailing address
1 CVS Dr
Box 1075- Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904690 | Other | NCPDP | |
| 080815600 | Medicaid | DC |
Other names
- CVS Pharmacy# 02787
Other providers in Washington, DC
- District of Columbia CVS Pharmacy, L.L.C.
- District of Columbia CVS Pharmacy, L.L.C.
- District of Columbia CVS Pharmacy, L.L.C.
- District of Columbia CVS Pharmacy, L.L.C.
- District of Columbia CVS Pharmacy, L.L.C.
- District of Columbia Department of Health
- District of Columbia Department of Health
- District of Columbia Government
- District of Columbia International School
- District of Columbia Medical Specialists PC
All providers in Washington, DC · Pharmacy in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.