Healthcare Provider Details

I. General information

NPI: 1477474880
Provider Name (Legal Business Name): WHI COMMUNITY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 VARNUM ST NE STE 205
WASHINGTON DC
20017-2153
US

IV. Provider business mailing address

1140 VARNUM ST NE STE 203
WASHINGTON DC
20017-2153
US

V. Phone/Fax

Practice location:
  • Phone: 202-891-7872
  • Fax: 202-450-6088
Mailing address:
  • Phone: 202-891-7872
  • Fax: 202-450-6088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSE BORDON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 240-426-8890