Active NPI
Hannah Dibonge, RPH., CGP.
- Pharmacist
- Germantown, MD
National Provider Identifier
1932274735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14848
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14848 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Gaithersburg, MD
- NPI 1285518878
-
- Community/Retail Pharmacy
- Germantown, MD
- NPI 1972783702
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.