D.C. Department of Behavioral Health
Organization Active NPI Clinic Pharmacy · Washington, DC
NPI 1295292944 · NPPES record last updated Feb 28, 2019
Key facts
- NPI
- 1295292944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- Legal business name
- D.C. DEPARTMENT OF BEHAVIORAL HEALTH
- Practice address
- 35 K St NE
Washington, DC 20002-4216 - Phone
- (202) 671-3206
- NPI assigned
- Feb 28, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE
Authorized official
- Name
- Tamisha Nicole Kelly Smith
- Title
- Medicaid Eligibility Comp. Officer
- Phone
- (202) 671-3206
Corporate family (same tax ID) 28
National Provider Directory
- Tax ID family
- DC Urology Phys GRP
- Part of
- DC Urology Phys GRP
Locations
64 New York Ave NE
Fl E2
Washington, DC 20002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Yes |
Addresses
Primary practice location
35 K St NE
Washington, DC 20002-4216
Mailing address
64 New York Ave NE FL E2
Washington, DC 20002-3320
Phone (202) 671-3206
Other names
- 35 K Street Pharmacy DC DBH/Mental Health Service Division
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.