NPIMap

Organization Active NPI

Community Clinic, Inc

Doing business as CCI Ora Glen Pharmacy

  • Community/Retail Pharmacy
  • Greenbelt, MD
National Provider Identifier
1295560878
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMMUNITY CLINIC, INC
Doing business as
CCI Ora Glen Pharmacy
Practice address
7615 Ora Glen Dr
Greenbelt, MD 20770-3642
Phone
(301) 340-7525
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Sonya J Bruton, PSY.DNPI 1568016608
Title
Ceo & President
Phone
(240) 839-5107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

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 1

  • CCI Ora Glen Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Community Clinic Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Girard St
#100
Gaithersburg, MD 20877
Phone (301) 216-0880

7474 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (240) 624-2278

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

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1295560878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103405",
            "telephone_number": "301-340-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 ORA GLEN DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703642",
            "telephone_number": "301-340-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "240-839-5107",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCI Ora Glen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.