NPIMap

Organization Active NPI

Wellcare Pharmacy

  • Community/Retail Pharmacy
  • Washington, DC
National Provider Identifier
1831509934
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RX0000058 Issued in DC
Legal business name
WELLCARE PHARMACY
Practice address
3923 S Capitol St SW
Unit a
Washington, DC 20032-2308
Phone
(202) 847-0237
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Rediet Taye, PHARMD
Title
Manager
Phone
(202) 262-9328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RX0000058 DC Primary

Addresses

Primary practice location

3923 S Capitol St SW
Unit a
Washington, DC 20032-2308

Mailing address

3923 S Capitol St SW
Unit a
Washington, DC 20032-2308
Phone (202) 847-0237

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1831509934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 S CAPITOL ST SW",
            "address_2": "UNIT A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322308",
            "telephone_number": "202-847-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 S CAPITOL ST SW",
            "address_2": "UNIT A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322308",
            "telephone_number": "202-847-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "TAYE",
        "authorized_official_first_name": "REDIET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-262-9328",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DC",
            "license": "RX0000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 29, 2014; 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.