Organization Active NPI

Brightrx

  • Community/Retail Pharmacy
  • College Park, MD
National Provider Identifier
1750159281
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRIGHTRX
Practice address
6100 Westchester Park Dr Ste C1
College Park, MD 20740
Phone
(240) 696-4005
Fax
(240) 696-4382
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Alda Ngassa, PHARM D.NPI 1386059590
Title
Owner
Phone
(757) 243-7793

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 1

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

Addresses

Primary practice location

6100 Westchester Park Dr Ste C1
College Park, MD 20740

Mailing address

6100 Westchester Park Dr Ste C1
College Park, MD 20740
Phone (240) 696-4005

Other names 1

  • Bright RX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130000953 DC Part B Supplier - Pharmacy 3870946577 Practice locations: College Park, MD

National Provider Directory

National Provider Directory

Locations

6100 Westchester Park Dr
Ste C1
College Park, MD 20740
Phone (240) 696-4005

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1750159281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WESTCHESTER PARK DR STE C1",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "240-696-4005",
            "fax_number": "240-696-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WESTCHESTER PARK DR STE C1",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "240-696-4005",
            "fax_number": "240-696-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "NGASSA",
        "authorized_official_first_name": "ALDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-243-7793",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.