Petworth Care Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RX0500337 Issued in DC

Legal business name

PETWORTH CARE PHARMACY

Practice address

4809 Georgia Ave NW
Washington, DC 20011-4533

Phone

(202) 722-4330

Fax

(202) 722-7143

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mesfin Gegziabhear, RPH

Title

Pharmacist Incharge

Phone

(202) 722-4330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467596577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114533",
            "telephone_number": "202-722-4330",
            "fax_number": "202-722-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114533",
            "telephone_number": "202-722-4330",
            "fax_number": "202-722-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETWORTH CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEGZIABHEAR",
        "authorized_official_first_name": "MESFIN",
        "authorized_official_title_or_position": "PHARMACIST INCHARGE",
        "authorized_official_telephone_number": "202-722-4330",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "RX0500337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sondra Petty, LICSW
• Jacquline Lorrine Petway
• Jasmine Janai Petway
• Jasmine Shirelle Petway
• Lorraine Petway
• Petworth Family Dental
• Christy Engstrom Petyak, CPNP-PC
• Normel Momulouh Peuzidjeu
• Elizabeth Peveto
• Amanda Pewett, BCBA

• Community/Retail Pharmacy in Washington, DC
• Providers in Washington, DC by specialty
• Community/Retail Pharmacy in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.