Individual provider Active NPI

Zachary Warren Phillips, PHARMD

  • Pharmacist
  • Bethesda, MD
National Provider Identifier
1780468066
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25009 Issued in MD
Practice address
4931 Cordell Ave Ste 4
Bethesda, MD 20814-2508
Phone
(240) 802-2092
Fax
(240) 380-2221
NPI assigned
Aug 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202216606 VA
Pharmacist 183500000X RPH026566 GA
Pharmacist 183500000X 25009 MD Primary

Addresses

Primary practice location

4931 Cordell Ave Ste 4
Bethesda, MD 20814-2508

Mailing address

4931 Cordell Ave Ste 4
Bethesda, MD 20814-2508
Phone (240) 802-2092

Other practice location 1

2 M St NE Apt 628
Washington, DC 20002-3989
Phone (770) 654-2349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH026566GAMDPharmacist
25009MDMDPharmacist
0202216606VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Compounding, Inc. Current Accepting new patients

Locations

4931 Cordell Ave
Ste 4
Bethesda, MD 20814
Phone (240) 802-2092

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1780468066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 CORDELL AVE STE 4",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142508",
            "telephone_number": "240-802-2092",
            "fax_number": "240-380-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 CORDELL AVE STE 4",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142508",
            "telephone_number": "240-802-2092",
            "fax_number": "240-380-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 M St NE Apt 628",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023989",
            "country_code": "US",
            "telephone_number": "770-654-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ZACHARY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202216606",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026566",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "25009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.