NPIMap

Organization Active NPI

Prime, Inc

  • Community/Retail Pharmacy
  • Washington, DC
National Provider Identifier
1669541777
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RX0200323 Issued in DC
Legal business name
PRIME, INC
Practice address
1647 Benning Rd NE
Ste 101
Washington, DC 20002-4569
Phone
(202) 399-7876
Fax
(202) 388-3157
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mr. Omololu Abimbola Fatukasi, R. PH
Title
Pharmacy Manager
Phone
(202) 399-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RX0200323 DC Primary

Addresses

Primary practice location

1647 Benning Rd NE
Ste 101
Washington, DC 20002-4569

Mailing address

1647 Benning Rd NE
Ste 101
Washington, DC 20002-4569
Phone (202) 399-7876

Other names 1

  • sterling pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1647 Benning Rd NE
Ste 101
Washington, DC 20002
Phone (202) 399-7876

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1669541777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024569",
            "telephone_number": "202-399-7876",
            "fax_number": "202-388-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "STE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024569",
            "telephone_number": "202-399-7876",
            "fax_number": "202-388-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "FATUKASI",
        "authorized_official_first_name": "OMOLOLU",
        "authorized_official_middle_name": "ABIMBOLA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "202-399-7876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "RX0200323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sterling 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 Feb 14, 2008; 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.