Healthcare Provider Details

I. General information

NPI: 1588081244
Provider Name (Legal Business Name): CMS HEALTH INITIATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2014
Last Update Date: 03/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 H ST NE
WASHINGTON DC
20002-4446
US

IV. Provider business mailing address

1307 H ST NE
WASHINGTON DC
20002-4446
US

V. Phone/Fax

Practice location:
  • Phone: 571-239-3949
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. MIA BARNES
Title or Position: VICE PRESIDENT
Credential: PHARM.D.,BCPS
Phone: 571-239-3949