Defense Health Agency

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

DEFENSE HEALTH AGENCY

Doing business as

Defense Health Agency

Practice address

401 Carpenter Rd # 525
Ft Myer, VA 22211-1009

Phone

(703) 696-7924

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Sharwanda George, PHD

Title

Clinical Pharmacist

Phone

(703) 696-7924

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Defense Health Agency Doing business as

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1437855517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CARPENTER RD # 525",
            "city": "FT MYER",
            "state": "VA",
            "postal_code": "222111009",
            "telephone_number": "703-696-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CARPENTER RD # 525",
            "city": "FT MYER",
            "state": "VA",
            "postal_code": "222111009",
            "telephone_number": "703-696-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFENSE HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SHARWANDA",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "703-696-7924",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN",
            "identifier": "082820180",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Defense Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Scott Christiansen
• Jennifer Marie Claro, MS, RDN, LDN
• Janet Ann CVRK, RN
• Tatyana Dankulich-Huryn, DMD
• Anne De Lanoy, M.D.
• Nicole Marie Deyampert, MD
• Camille B Diclerico, MSN
• Lucy Duckworth
• Evonne T Fei, PSY.D.
• Ft Meade Meddac

• Clinic Pharmacy in Ft Myer, VA
• Providers in Ft Myer, VA by specialty
• Clinic Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.