WALGREENS 11079 (NPI# 1023455383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023455383 |
| Entity Type | Organization |
| Organization Name | WALGREENS 11079 |
| Practice Address |
38627 Benro Dr Delmar DE 19940-3572 |
| Mailing Address |
200 Wilmot Rd Deerfield IL 60015-4620 |
| Practice Telephone | 3029071010 |
| Practice Fax Number | 3029071006 |
| Mailing Telephone | 3023660335 |
| Mailing Fax Number | 3024533168 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |
| Authorized Official Name | JON REITZ (MARKET PHARMACY DIRECTOR) |
| Authorized Official Telephone | 3023660335 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREEN CO./ILL. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
380101061159913 | DE | Ambulatory Health Care Facilities |
| Street Address |
38627 BENRO DR |
| City | DELMAR |
| State | DE |
| Zip Code | 19940-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811968068 | Terri L Jones | Pharmacist | 38627 Benro Dr, Delmar, DE 19940-3572 | 2006-01-27 |
| 1972115509 | Maria Carilli | Pharmacist | 38627 Benro Dr, Delmar, DE 19940-3572 | 2020-08-17 |
| 1013558469 | Stephen Paul Southern | Pharmacist | 38627 Benro Dr, Delmar, DE 19940-3572 | 2019-10-07 |
| 1134645799 | Sara El-baff | Pharmacist | 38627 Benro Dr, Delmar, DE 19940-3572 | 2017-08-16 |
| 1215453824 | Michelle Sebok | Pharmacist | 38627 Benro Dr, Delmar, DE 19940-3572 | 2017-08-15 |
| 1891249199 | Emily Beth Calloway | Pharmacist | 38627 Benro Dr, Delmar, DE 19940-3572 | 2016-08-04 |
| 1801170394 | Geraldine E Shelton | Pharmacist | 38627 Benro Dr, Unit 1, Delmar, DE 19940-3572 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699872044 | Delmar Fire Department Inc. | Ambulance | Bi-state Blvd & Grove St, Delmar, DE 19940 | 2006-09-20 |
| 1093972796 | Delmarva Health Centre, Inc | Chiropractor | 10955 State Street, Delmar, DE 19940-0369 | 2008-05-20 |
| 1881179273 | Be Well Bi State Counseling | Social Worker | 500 N Bi State Blvd Ste 101, Delmar, DE 19940-1104 | 2018-10-01 |
| 1356336622 | Chancellor Care Center of Delmar | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2005-09-13 |
| 1134641970 | Matthew Alexander Reasinger | Occupational Therapist | 101 Delaware Ave, Delmar, DE 19940-1110 | 2017-07-13 |
| 1336539717 | 101 E Delaware Ave Operations LLC | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2015-01-23 |
| 1699105296 | Lauren Nichole O'day | Occupational Therapy Assistant | 101 Delaware Ave, Delmar, DE 19940-1110 | 2013-11-18 |
| 1790118800 | Katelin Tull | Occupational Therapist | 101 Delaware Ave, Delmar, DE 19940-1110 | 2013-08-12 |
| 1538406095 | Jessica Robin Jackson | Physical Therapy Assistant | 101 Delaware Ave, Delmar, DE 19940-1110 | 2013-01-03 |
| 1417224833 | Envoy of Delmar, LLC | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2011-11-30 |
| Find all providers in zip 19940 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145262 | The Natural Hypertension Institute Inc | Clinic/Center | 207 Sutton Way, Newark, DE 19711-3244 | 2020-05-11 |
| 1174144083 | Ubuntu Black Family Wellness Collective | Clinic/Center | 2611 Governor Printz Blvd, Wilmington, DE 19802-4518 | 2020-05-01 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1841680147 | La Red Health Center | Clinic/Center | 21444 Carmean Way, Georgetown, DE 19947-4572 | 2015-01-26 |
| 1790716363 | Greenwood Urgent Care Center Inc | Clinic/Center | 640 S Queen St, Dover, DE 19904-3565 | 2006-07-05 |
Please comment or provide details below to improve the information on WALGREENS 11079.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.