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NPI 1992640817 · live from the CMS NPI Registry

Carlette Dawn Cavenaugh

Pharmacist in Washington, DC. National Provider Identifier 1992640817, active.

NPI record

NPI1992640817 Type 1 · individual
StatusActive
Primary specialtyPharmacist 183500000X
Practice location110 Irving St Nw Rm Gb-44a, Washington, DC 20010
Practice phone202-877-6645
Mailing address4068 Fountainside Ln, Fairfax, VA 22030
EnumeratedApril 20, 2026
Last updatedApril 20, 2026
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacist primary183500000XPH100003740 (DC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.