Provider Demographics
NPI:1477587004
Name:ALPHA DRUGS LLC
Entity Type:Organization
Organization Name:ALPHA DRUGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PANAGIOTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:METAXOTOS
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:202-265-7979
Mailing Address - Street 1:1638 R ST NW STE 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6446
Mailing Address - Country:US
Mailing Address - Phone:202-265-7979
Mailing Address - Fax:202-265-0588
Practice Address - Street 1:1638 R ST NW STE 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6446
Practice Address - Country:US
Practice Address - Phone:202-265-7979
Practice Address - Fax:202-265-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCBA9501758183500000X
332B00000X
DCRX05003403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101245192Medicaid
MD410066200Medicaid
DC037307200Medicaid
DC037552700Medicaid
DC037307200Medicaid