Provider Demographics
NPI:1972734572
Name:ALPHA DRUGS LLC
Entity Type:Organization
Organization Name:ALPHA DRUGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PANAGIOTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:METAXOTOS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
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:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC37552700Medicaid
5539670001Medicare NSC