NPI 1790883312 · live from the CMS NPI Registry
Ivan Purnell Cephas, Pharm.D.
Pharmacist in Washington, DC. National Provider Identifier 1790883312, active.
NPI record
| NPI | 1790883312 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 50 Irving St Nw, Pharmacy Service (119), Washington, DC 20422 |
| Practice phone | 202-745-8000 |
| Mailing address | 3106 35th St Ne, Washington, DC 20018 |
| Enumerated | September 20, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | ps 36007 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.