Organization Active NPI

Central Pharmacy LLC

  • Pharmacy
  • Washington, DC
National Provider Identifier
1508117664
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RX1200018 Issued in DC
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20210601000046 DC Part B Supplier - Mass Immunization (Roster Biller Only) 1951700640 Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Practitioners & 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.

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": []
}

Other providers in Washington, DC

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.

Verify at the official NPI Registry.