State Pharmacy in Se Washington - Durable Medical Equipment & Medical Supplies
State Pharmacy - NPI 1205961489
State Pharmacy is a Durable Medical Equipment & Medical Supplies in Se Washington, District Of Columbia. State Pharmacy practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for State Pharmacy is 1205961489. The last update date is 2020-12-01.
State Pharmacy's current location address is 2041 Martin Luther King Ave, Se Washington, District Of Columbia. You can contact this provider via phone number 2026102100 and fax number 2026101078. The mailing address for State Pharmacy is 2041 Martin Luther King Ave, Se Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | State Pharmacy |
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Address | 2041 Martin Luther King Ave, Se Washington, District Of Columbia |
Phone Number | 2026102100 |
Fax Number | 2026101078 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Bibum Nkinang Marie |
Credentials | PHARM D |
Telephone Number | 2026102100 |
NPI Number Detail
NPI Number | 1205961489 |
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Provider Enumeration Date | 2007-02-21 |
Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
Address | 2041 Martin Luther King Ave |
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City | Se Washington |
State | District Of Columbia (DC) |
Post Code | 20020 |
Phone Number | 2026102100 |
Fax Number | 2026101078 |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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Taxonomy | 332B00000X |
Licence No | RX0300330 |
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
34828700 | DC | -- | |
35360800 | DC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to State Pharmacy by the Centers for Medicare & Medicaid Services?
The State Pharmacy has been assigned the NPI (National Provider Identifier) 1205961489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where State Pharmacy's facilities are geographically located?
The facilities of State Pharmacy are physically situated at the following location: 2041 Martin Luther King Ave, Se Washington, DC, 20020.
What is State Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for State Pharmacy is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did the State Pharmacy receive the assignment of its 1205961489 from the Centers for Medicare & Medicaid Services?
The State Pharmacy was issued its 1205961489 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date was the information pertaining to State Pharmacy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to State Pharmacy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-01.