Individual provider Active NPI

Hannah Dibonge, RPH., CGP.

  • Pharmacist
  • Germantown, MD
National Provider Identifier
1932274735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14848 Issued in MD
Practice address
21506 Manor View Cir
Germantown, MD 20876-5924
Phone
(301) 540-8230
Fax
(301) 540-8246
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14848 MD Primary

Addresses

Primary practice location

21506 Manor View Cir
Germantown, MD 20876-5924

Mailing address

21506 Manor View Cir
Germantown, MD 20876-5924
Phone (301) 540-8230

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14848MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alta First Choice, Inc Current Accepting new patients
Germantown Pharmacy Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932274735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21506 MANOR VIEW CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765924",
            "telephone_number": "301-540-8230",
            "fax_number": "301-540-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21506 MANOR VIEW CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765924",
            "telephone_number": "301-540-8230",
            "fax_number": "301-540-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBONGE",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "RPH., CGP.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.