Mary Washington Healthcare Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002070 Issued in VA

Legal business name

MARY WASHINGTON HEALTHCARE SERVICES INC

Practice address

1101 Sam Perry Blvd
Suite 120
Fredericksburg, VA 22401-4467

Phone

(540) 741-1425

Fax

(540) 371-1968

NPI assigned

Jun 14, 2006

Organization subpart

No

Name

Sean T. Barden

Title

Chief Finance Officer

Phone

(540) 741-1494

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hunter Carlisle Goode, RPH

  • Pharmacist
  • Fredericksburg, VA
  • NPI 1912543117
  NPD
• Tuong Kim Nhat Nguyen, PHARM.D.

  • Pharmacist
  • Fredericksburg, VA
  • NPI 1356057749
  NPD
• Makayla Swain

  • Pharmacist
  • Fredericksburg, VA
  • NPI 1295614634
  NPD

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1055.epichosted.com/FHIRProxy/MWHC/api/FHIR/R4

• MEDICAL ARTS PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2023.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1992748255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 120",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-741-1425",
            "fax_number": "540-371-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD",
            "address_2": "SUITE 120",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-741-1425",
            "fax_number": "540-371-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY WASHINGTON HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "BARDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "540-741-1494"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002070",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8514372",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ARTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL ARTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Washington Healthcare Physicians
• Mary Washington Healthcare Physicians
• Mary Washington Healthcare Physicians
• Mary Washington Healthcare Physicians
• Mary Washington Healthcare Providers LLC
• Mary Washington Healthcare Specialty Services LLC
• Mary Washington Hospital
• Mary Washington Hospital Inc.
• Mary Washington Hospital, Inc.
• Mary Washington Hospital, Inc.

• All providers in Fredericksburg, VA
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.