Organization Active NPI

Ithrive Health

Doing business as village green apothecary

  • Pharmacist
  • Bethesda, MD
National Provider Identifier
1912066796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14358 Issued in MD
Legal business name
ITHRIVE HEALTH
Doing business as
village green apothecary
Practice address
5415 W Cedar LN
Bethesda, MD 20814-1515
Phone
(301) 530-0800
Fax
(301) 493-4671
NPI assigned
Dec 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Miriam Peters, MP
Title
Head Pharmacist
Phone
(301) 530-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 14358 MD Primary

Addresses

Primary practice location

5415 W Cedar LN
Bethesda, MD 20814-1515

Mailing address

5415 W Cedar LN
Bethesda, MD 20814-1515
Phone (301) 530-0800

Other names 1

  • village green apothecary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ithrive Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912066796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141515",
            "telephone_number": "301-530-0800",
            "fax_number": "301-493-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141515",
            "telephone_number": "301-530-0800",
            "fax_number": "301-493-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHRIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "HEAD PHARMACIST",
        "authorized_official_telephone_number": "301-530-0800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "village green apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.