Active NPI
Zachary Warren Phillips, PHARMD
- Pharmacist
- Bethesda, MD
National Provider Identifier
1780468066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25009
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH026566 | GA | MD | Pharmacist |
| 25009 | MD | MD | Pharmacist |
| 0202216606 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Compounding Pharmacy
- Bethesda, MD
- NPI 1265923676
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
- Ellen B Phillips, LGSW
- Katherine Marilyn Phillips, MS, OTR/L
- Mary Phillips
- Noha Phillips
- Tarin Connor Phillips, DO
- Caroline Coltrane Philpott, M. D.
- Meredith Brooks Phipps, MS, C-IAYT, E-RYT
- Physician Imaging of Washington Hospital Center, LLC (MRN Chevy Chase at Barlow)
- Physiotherapy Associates Inc (NovaCare Rehabilitation)
- Picassomd, Inc.
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.