Bellevue Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BELLEVUE PHARMACY LLC

Practice address

3939 S Capitol St SW
Washington, DC 20032-2308

Phone

(202) 629-4221

Fax

(202) 629-4592

NPI assigned

Jun 20, 2016

Last updated

Aug 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kapiamba MutebaNPI 1841527447

Title

Owner

Phone

(301) 404-6067

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kapiamba Muteba

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Washington, DC
  • NPI 1841527447
  NPD Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1740630862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 S CAPITOL ST SW",
            "address_2": "SUITE C1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322308",
            "telephone_number": "301-404-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S CAPITOL ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322308",
            "telephone_number": "202-629-4221",
            "fax_number": "202-629-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "MUTEBA",
        "authorized_official_first_name": "KAPIAMBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-404-6067",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Belle, M.A.
• Magalie Bellegarde
• Gloria Myers Beller, LICSW LICENSED INDEP
• Thomas Patrick Beller, MSW
• Anna R Bellettiere
• Lisa Bellil, M.D.
• Gary Antonio Bellinger
• Abudulniyu S Bello
• Alimat Bello
• Anifat Bello

• Community/Retail Pharmacy in Washington, DC
• Providers in Washington, 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 Aug 5, 2019; 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.