Active NPI
Weave DRS Apothecary
- Durable Medical Equipment & Medical Supplies
- Bowie, MD
National Provider Identifier
1619619921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WEAVE DRS APOTHECARY
- Practice address
- 3231 Superior Lane A21
Bowie, MD 20715 - Phone
- (703) 973-7146
- Fax
- (240) 245-2102
- NPI assigned
- Apr 8, 2022
- 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
- Mrs. Chelsea Felisha Mitchell, PROVIDER
- Title
- President
- Phone
- (703) 973-7146
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3231 Superior Lane A21
Bowie, MD 20715
Mailing address
12138 Central Ave 221
Bowie, MD 20721
Phone (703) 973-7146
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.
-
- Point of Service
- Bowie, MD
- NPI 1487120333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1619619921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12138 CENTRAL AVE 221",
"city": "BOWIE",
"state": "MD",
"postal_code": "20721",
"telephone_number": "703-973-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 SUPERIOR LANE A21",
"city": "BOWIE",
"state": "MD",
"postal_code": "20715",
"telephone_number": "703-973-7146",
"fax_number": "240-245-2102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEAVE DRS APOTHECARY",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "CHELSEA",
"authorized_official_middle_name": "FELISHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-973-7146",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PROVIDER"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.