Organization Active NPI

Alex Pharm LLC

Doing business as Palisades Pharmacy

  • Community/Retail Pharmacy
  • Washington, DC
National Provider Identifier
1518384940
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RX0000068 Issued in DC
Legal business name
ALEX PHARM LLC
Doing business as
Palisades Pharmacy
Practice address
5185 Macarthur Blvd NW # 107
Washington, DC 20016-3341
Phone
(202) 362-0004
Fax
(202) 362-0006
NPI assigned
Mar 24, 2014
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Amir Misak, RPH
Title
Owner & Pic
Phone
(202) 362-0004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RX0000068 DC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

5185 Macarthur Blvd NW # 107
Washington, DC 20016-3341

Mailing address

5185 Macarthur Blvd NW # 107
Washington, DC 20016-3341
Phone (202) 362-0004

Other identifiers 2

IdentifierTypeStateIssuer
097080400MedicaidDC
2147432OtherPK

Other names 1

  • PALISADES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5185 MacArthur Blvd NW
Unit 107
Washington, DC 20016
Phone (202) 362-0004

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1518384940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 MACARTHUR BLVD NW # 107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163341",
            "telephone_number": "202-362-0004",
            "fax_number": "202-362-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 MACARTHUR BLVD NW # 107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163341",
            "telephone_number": "202-362-0004",
            "fax_number": "202-362-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX PHARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MISAK",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER & PIC",
        "authorized_official_telephone_number": "202-362-0004",
        "authorized_official_credential": "RPH"
    },
    "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": "RX0000068",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097080400",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALISADES PHARMACY",
            "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 Jul 19, 2018; 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.