Active NPI
Central Pharmacy LLC
- Pharmacy
- Washington, DC
National Provider Identifier
1508117664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RX1200018
- Legal business name
- CENTRAL PHARMACY LLC
- Practice address
- 2202 Martin Luther King Jr Avenue SE
Washington, DC 20020 - Phone
- (202) 678-6010
- NPI assigned
- Sep 28, 2012
- Last updated
- Sep 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Karungu
- Title
- Manager
- Phone
- (202) 678-6010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | RX1200018 | DC | Primary |
Addresses
Primary practice location
2202 Martin Luther King Jr Avenue SE
Washington, DC 20020
Mailing address
2202 Martin Luther King Jr Ave SE
Washington, DC 20020-5725
Phone (202) 678-6010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210601000046 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951700640 | Practice locations: Washington, DC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Washington, DC
- NPI 1306431812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348790400000",
"number": "1508117664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205725",
"telephone_number": "202-678-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 MARTIN LUTHER KING JR AVENUE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20020",
"telephone_number": "202-678-6010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A",
"authorized_official_last_name": "KARUNGU",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "202-678-6010"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "DC",
"license": "RX1200018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.