1. Home
  2. Directory
  3. NPI Profile

STATE PHARMACY
NPI 1205961489
Pharmacy - Community/Retail Pharmacy in Se Washington, DC

Active since February 21, 2007
2041 MARTIN LUTHER KING AVE, SUITE 100, SE WASHINGTON, DC 20020(202) 610-2100(202) 610-1078 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2020, Aug 9, 2017 (2 updates tracked since 2017).

About State Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE PHARMACY (NPI 1205961489) is a healthcare organization registered as a community/retail pharmacy in Se Washington, District Of Columbia and active in the NPI registry since February 2007. The organization lists Marie Nkinang Bibum, President, as its authorized official.

NPPES Registry Identity

NPI1205961489
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSTATE PHARMACY
Location Address2041 MARTIN LUTHER KING AVE, SUITE 100Se Washington, DC 20020
Mailing Address2041 Martin Luther King Ave, Suite 100Se Washington, DC 20020 · (202) 610-2100 · Fax (202) 610-1078
Phone(202) 610-2100
Fax(202) 610-1078
Organization SubpartNo
Authorized OfficialMarie Nkinang BibumPresident · (202) 610-2100
Enumeration DateFebruary 21, 2007
Last NPPES UpdateDecember 1, 20202 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1205961489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in DC · RX0300330
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License RX0300330 (DC)
Also ListedPharmacyTaxonomy 333600000X
2041 MARTIN LUTHER KING AVE, Se Washington, DC 20020
Open in Google Maps ↗

Other Identifiers 2

Medicaid034828700DC
Medicaid035360800DC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Pharmacy's NPI number?

The NPI number for State Pharmacy is 1205961489. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is State Pharmacy located?

State Pharmacy is located at 2041 Martin Luther King Ave Suite 100, SE Washington, DC 20020. The listed phone number is (202) 610-2100.

What is State Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does State Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list State Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Pharmacy was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.