Active NPI
Goodcare Pharmacy 11 Inc.
- Community/Retail Pharmacy
- Washington, DC
National Provider Identifier
1831398775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RX0700351
- Legal business name
- GOODCARE PHARMACY 11 INC.
- Doing business as
- GOODCARE PHARMACY
- Practice address
- 1328 Southern Ave SE
Washington, DC 20032-4689 - Phone
- (202) 574-6088
- Fax
- (202) 563-3133
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vivian Adeghe
- Title
- Coo
- Phone
- (202) 561-4343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RX0700351 | DC | Primary |
Addresses
Primary practice location
1328 Southern Ave SE
Washington, DC 20032-4689
Mailing address
1328 Southern Ave SE
Washington, DC 20032-4689
Phone (202) 574-6088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904474 | Other | NCPDP |
Other names 1
- GOODCARE PHARMACY
National Provider Directory
National Provider DirectoryLocations
1328 Southern Ave SE
Washington, DC 20032
Phone (202) 544-7744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329696000000",
"number": "1831398775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 SOUTHERN AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324689",
"telephone_number": "202-574-6088",
"fax_number": "202-563-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 SOUTHERN AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324689",
"telephone_number": "202-574-6088",
"fax_number": "202-563-3133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODCARE PHARMACY 11 INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2012-02-20",
"status": "A",
"authorized_official_last_name": "ADEGHE",
"authorized_official_first_name": "VIVIAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "202-561-4343"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "DC",
"license": "RX0700351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0904474",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GOODCARE 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 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.