Organization Active NPI

Good Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Washington, DC
National Provider Identifier
1508877093
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RX1200005 Issued in DC
Legal business name
GOOD CARE PHARMACY INC
Practice address
2910 Martin Luther King Jr Ave SE
Washington, DC 20032-2522
Phone
(202) 561-4343
Fax
(202) 561-5061
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Vivian Adeghe
Title
Owner/Director
Phone
(202) 561-4343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RX1200005 DC Primary

Addresses

Primary practice location

2910 Martin Luther King Jr Ave SE
Washington, DC 20032-2522

Mailing address

2910 Martin Luther King Jr Ave SE
Washington, DC 20032-2522
Phone (202) 561-4343

Other identifiers 2

IdentifierTypeStateIssuer
2005928OtherPK
036860100MedicaidDC

Other names 1

  • Good Care Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2906 Martin Luther King Jr Ave SE
Washington, DC 20032
Phone (202) 561-4343

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1508877093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322522",
            "telephone_number": "202-561-4343",
            "fax_number": "202-561-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322522",
            "telephone_number": "202-561-4343",
            "fax_number": "202-561-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "ADEGHE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "202-561-4343"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "RX1200005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005928",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036860100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Care Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2016; 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.