MEDICARE: MARIAH MENDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH200005188	DC

General Provider Information

NPI Number	:	1518848415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH MENDEZ

Provider Business Mailing Address
First Line	:	237 LONGVIEW DR
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-9597
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 NEWARK ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3036
Country	:	US
Telephone Number	:	202-966-0320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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Directions to “ MARIAH MENDEZ ” Practice Location

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