Healthcare Provider Details

I. General information

NPI: 1790641694
Provider Name (Legal Business Name): CRI DC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 I ST NW STE 100
WASHINGTON DC
20005-2200
US

IV. Provider business mailing address

1444 I ST NW STE 100
WASHINGTON DC
20005-2200
US

V. Phone/Fax

Practice location:
  • Phone: 202-759-5200
  • Fax: 202-759-5200
Mailing address:
  • Phone: 202-759-5200
  • Fax: 202-759-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ETHAN BLAKE WHEELER
Title or Position: COMPLIANCE OFFICER
Credential: PHARMD
Phone: 202-773-0805