Triple Alliance Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TRIPLE ALLIANCE PHARMACY, INC

Doing business as

triple alliance pharmacy

Practice address

1819 West Virgnia Avenue NE
Washington DC, DC 20002

Phone

(202) 525-1386

Fax

(202) 629-4543

NPI assigned

Dec 10, 2018

Organization subpart

Yes

Parent organization

TRIPLE ALLINACE PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Tsedale M ZerabrukNPI 1346685450

Title

Secretary

Phone

(202) 525-1386

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• triple alliance pharmacy Doing business as

Tax ID family

Triple Alliance Pharmacy Inc2 organizations share this tax ID, including this one

Part of

Triple Alliance Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Triple Alliance Pharmacy, Inc

  • Pharmacy
  • Washington, DC
  • NPI 1932449923
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tsedale M Zerabruk, PHARM.D.

  • Pharmacist
  • Fort Washington, MD
  • NPI 1346685450
  NPD Authorized official

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1578034096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 WEST VIRGNIA AVENUE NE",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20002",
            "telephone_number": "202-525-1386",
            "fax_number": "202-629-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 WEST VIRGNIA AVENUE NE",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20002",
            "telephone_number": "202-525-1386",
            "fax_number": "202-629-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE ALLIANCE PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIPLE ALLINACE PHARMACY INC",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "ZERABRUK",
        "authorized_official_first_name": "TSEDALE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "202-525-1386"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051743900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "triple alliance pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Flavia Tejada Frisancho, M.D
• The E.I. Edge, LLC
• Aidan Thompson
• Susan Diane Thompson, M.D.
• Fatmata Baby Daboh Tomboyeke
• Rushi Hasmukh Vyas, MD
• Tomikio Viette Walker
• Palmyra Elizabeth Walton
• Harvey Washington, M.D.
• Robert P. Williams, M.D.

• Community/Retail Pharmacy in Washington DC, DC
• Providers in Washington DC, 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 Dec 10, 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.