WALLACE KIGOTHO (NPI# 1306431812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306431812 |
Entity Type | Individual |
Full Name | WALLACE KIGOTHO |
Gender | Male |
Practice Address | 2202 Martin Luther King Jr Ave Se Washington DC 20020-5725 |
Practice Telephone | 2026786010 |
Mailing Address | 2202 Martin Luther King Jr Ave Se Washington DC 20020-5725 |
Mailing Telephone | 2026786010 |
Certification Date | 2021-03-05 |
Enumeration Date | 2021-03-05 |
Last Update Date | 2021-03-05 |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PH100000679 | DC | Pharmacy Service Providers |
Street Address | 2202 MARTIN LUTHER KING JR AVE SE |
City | WASHINGTON |
State | DC |
Zip Code | 20020-5725 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407110604 | Central Pharmacy | Pharmacy · Community/Retail Pharmacy | 2202 Martin Luther King Jr Ave Se, Washington, DC 20020-5725 | 2012-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
1215566708 | Ryan Wright | Counselor · Mental Health | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
1639720394 | Denise Anderson | Technician · Personal Care Attendant | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
1629628664 | Rayniece Ann Johnson | Technician · Personal Care Attendant | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
1780245787 | Connie Kitchings | Technician · Personal Care Attendant | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
1588228647 | Bria Brown | Social Worker · School | 2600 Douglass Rd Se, Washington, DC 20020 | 2019-04-24 |
1922560366 | Neka Ramsey-Lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
1750843553 | Chloe Rebecca Zaitlin | Psychologist · School | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
1144781410 | Mark Thomas | Speech-Language Pathologist | 2600 Douglass Rd Se, Washington, DC 20020 | 2019-03-28 |
Find all providers in zip 20020 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174117279 | Carley Jean Church | 1001 Jefferson Ave, Washington, PA 15301-2105 | 2021-03-01 | |
1477146132 | Bandar Asfari | 1515 New York Ave Ne, Washington, DC 20002-1744 | 2021-02-14 | |
1891388567 | Megan Fuller | 110 Carroll St Nw, Washington, DC 20012-2001 | 2021-02-14 | |
1124619325 | Lavina Lu | 4303 Conn Ave Nw, Washington, DC 20008-2305 | 2021-01-30 | |
1124619598 | Kendra Jo Stewart | 175 W Beau St, Washington, PA 15301-4401 | 2021-01-28 | |
1427648278 | Markerra Tene Lindon | 1100 4th St Sw, Washington, DC 20024-4451 | 2021-01-25 | |
1871182873 | Manjula Chitkula | 1841 Columbia Rd Nw, Washington, DC 20009-2059 | 2021-01-13 | |
1831788108 | Emily A Shelton | 4309 Connecticut Ave Nw, Washington, DC 20008-2305 | 2021-01-12 | |
1114515665 | Taylor Williams | 10 Williams Bros Dr, Washington, IN 47501-4535 | 2021-01-08 | |
1497343594 | Ayomide Bamgbose | 1000 U St Nw, Washington, DC 20001-4049 | 2021-01-05 | |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679890891 | Caroline Njambi Kigotho | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-1441 | 2010-04-27 |
1609996552 | Ssc Wallace Operating Company LLC · Brian Center Health & Rehabilitation - Wallace | Nursing Facility/Intermediate Care Facility | 647 Se Railroad St, Wallace, NC 28466-2091 | 2007-03-31 |
1821286527 | Kelly Chiropractic Center of Wallace | Chiropractor | 112 Medical Village Dr, Suite A, Wallace, NC 28466-1668 | 2007-10-09 |
1972800472 | Sheila Wallace · Layla Wallace | Marriage & Family Therapist | 9343 Tech Center Dr Ste 200, Sacramento, CA 95826-2592 | 2011-02-17 |
1942292271 | Lewis Alfred Wallace · Fred Wallace | Internal Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2005-08-23 |
1396874178 | Wallace Drug Company Inc · Wallace Discount Drugs | Pharmacy | 520 N Magnolia St, Laurel, MS 39440-3559 | 2007-03-05 |
1891190831 | Katherine Lucas Wallace · Kasey Wallace | Marriage & Family Therapist | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2014-11-04 |
1114220738 | August M Wallace Enterprises, LLC · Wallace Vision Center | Optometrist | 805 Highway 9 Byp W, Lancaster, SC 29720 | 2010-12-21 |
1588773725 | Ann Wallace Rooney · Margaret Ann Wallace Davis | Social Worker · Clinical | 3280 Marshall Ave, Norman, OK 73072-8022 | 2006-08-30 |
1295074698 | John Wallace Floyd | Pharmacist | 3107 Lurleen B Wallace Blvd, Northport, AL 35476-3256 | 2013-02-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.