Active NPI
Carlette Dawn Cavenaugh
- Pharmacist
- Washington, DC
National Provider Identifier
1992640817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH100003740
- Practice address
- 110 Irving St NW RM GB-44a
Washington, DC 20010-3017 - Phone
- (202) 877-6645
- NPI assigned
- Apr 20, 2026
- 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 | PH100003740 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW RM GB-44a
Washington, DC 20010-3017
Mailing address
4068 Fountainside LN
Fairfax, VA 22030-6085
Phone (910) 398-7513
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH100003740 | DC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1992640817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4068 FOUNTAINSIDE LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306085",
"telephone_number": "910-398-7513",
"fax_number": "910-398-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW RM GB-44A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "202-877-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVENAUGH",
"first_name": "CARLETTE",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100003740",
"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 Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.