Organization Active NPI

Goodcare Pharmacy 11 Inc.

  • Community/Retail Pharmacy
  • Washington, DC
National Provider Identifier
1831398775
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RX0700351 Issued in DC
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

Updated by the provider on Feb 20, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0904474OtherNCPDP

Other names 1

  • GOODCARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.