Community Clinic, Inc
Organization Active NPI Community/Retail Pharmacy · Greenbelt, MD
NPI 1295560878 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1295560878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- COMMUNITY CLINIC, INC
- Practice address
- 7615 Ora Glen Dr
Greenbelt, MD 20770-3642 - Phone
- (301) 340-7525
- NPI assigned
- Sep 4, 2024
- Organization subpart
- No
Authorized official
- Name
- Sonya J Bruton, PSY.D
- Title
- Ceo & President
- Phone
- (240) 839-5107
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 12
Practitioners 71
-
Sonya J Bruton, PSY.D.
-
Sharmin Ali, PA
-
Saema Ansari, M.D.
-
Carolyn Brown, FNP-C
-
Donna Renee Brown, DDS
-
Yetunde Bucknor, MD
-
Lee Collins, LCPC
-
Christina Council, M.D.
-
Leena Daniel, MSN,WHNP-BC,IBCLC
-
Emmalyn Cruz De Claro, M.D.
-
Pinky Decker, FNP-BC
-
Ashley Dozier, WHNP
-
Rebecca Felsen, MD
-
Tyris Devontae Ford, DNP, NP-C, FNP-BC
-
Patricia Frye, MD
-
Anita Shah Gangar, D.O.
-
Parastoo Golestani, DDS
-
Joy Goodie, DNP, CRNP-PMH, LCPC
-
Marta Jean Hopkinson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260121000303 | DC | Part B Supplier - Pharmacy | 6204722614 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gaithersburg, MD; Greenbelt, MD |
National Provider Directory
- Tax ID family
- Community Clinic Inc
Locations
200 Girard St
#100
Gaithersburg, MD 20877
Phone (301) 216-0880
200 Girard St
Ste 212A
Gaithersburg, MD 20877
Phone (301) 216-0880
200 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880
9220 Springhill Ln
Greenbelt, MD 20770
Phone (240) 624-2278
9001 Edmonston Rd
Ste 40
Greenbelt, MD 20770
Phone (240) 790-3325
15850 Crabbs Branch Way
Ste 350
Rockville, MD 20855
Phone (240) 499-2636
5640 Nicholson Ln
Ste 10
Rockville, MD 20852
Phone (301) 933-6680
7676 New Hampshire Ave
Ste 220A
Takoma Park, MD 20912
Phone (301) 431-2972
2730 University Blvd W
#10
Wheaton, MD 20902
Phone (301) 933-6680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
7615 Ora Glen Dr
Greenbelt, MD 20770-3642
Mailing address
8665 Georgia Ave
Silver Spring, MD 20910-3405
Phone (301) 340-7525
Other names
- CCI Ora Glen Pharmacy
Other providers in Greenbelt, MD
- Cognitive Services, LLC
- Donald S Cohen
- Richard Steven Cohen
- Daneasha Coleman
- Community Clinic, Inc
- Community Clinic, Inc
- Community Clinic, Inc.
- Community Clinic, Inc.
- Community Radiology Associates Inc
- Community Radiology Associates Inc
All providers in Greenbelt, MD · Community/Retail Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. 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.