DELAWARE CVS PHARMACY LLC (NPI# 1245554062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245554062 |
| Entity Type | Organization |
| Organization Name | DELAWARE CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY# 04710 |
| Practice Address |
39820 Hickman Plaza Rd Bethany Beach DE 19930-3760 |
| Mailing Address |
1 Cvs Dr Box 1075 -pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 3025393548 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1245554062 | 05 | |
| DE | NCPDP | 0845062 | 01 |
| DE | DME | 1245554062 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy# 04710 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730677998 | Delaware Cvs Pharmacy LLC | Pharmacy | 604 Corner Ketch Rd, Newark, DE 19711-2901 | 2018-04-24 |
| 1457778276 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 366 E Chestnut Hill Rd, Newark, DE 19713-3737 | 2014-03-19 |
| 1538592878 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 17229 N. Village Main Blvd., Lewes, DE 19958-7221 | 2013-08-09 |
| 1316379027 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 601 N Dupont Blvd, Milford, DE 19963-1001 | 2013-08-05 |
| 1801237458 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1545 Pulaski Highway, Bear, DE 19701-1303 | 2013-07-11 |
| 1790128981 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8 Landers Ln, New Castle, DE 19720-2023 | 2013-04-08 |
| 1396087367 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 54 Atlantic Ave, Ocean View, DE 19970-9105 | 2013-03-18 |
| 1124375738 | Delaware Cvs Pharmacy LLC | Pharmacy | 1605 Telegraph Rd, Wilmington, DE 19804-4113 | 2012-08-14 |
| 1285998443 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 402 N Maryland Ave, Wilmington, DE 19804-1303 | 2012-07-02 |
| 1861707200 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 800 Christiana Mall, Newark, DE 19702-3216 | 2010-08-10 |
| Street Address |
39820 HICKMAN PLAZA RD |
| City | BETHANY BEACH |
| State | DE |
| Zip Code | 19930-3760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619514429 | Katherine Syphard | Pharmacist | 39820 Hickman Plaza Rd, Bethany Beach, DE 19930-3760 | 2019-11-30 |
| 1164975652 | Blair Heckel | Pharmacist | 39820 Hickman Plaza Rd, Bethany Beach, DE 19930-3760 | 2016-08-01 |
| 1437558152 | Jeffrey Lentowski | Pharmacist | 39820 Hickman Plaza Rd, Bethany Beach, DE 19930-3760 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780829671 | Bethany Beach Fire Company | Ambulance | 215 Hollywood Street, Bethany Beach, DE 19930 | 2008-12-08 |
| 1063628071 | Rosemay Anne Herrmann | Nurse Practitioner | 850 South Coastal Highway, Suite 4 Bethany Primary Care, Bethany Beach, DE 19930 | 2007-05-15 |
| 1477796050 | Bethany Beach Volunteer Fire Co. Inc | Ambulance | 215 Hollywood Street, Bethany Beach, DE 19930 | 2009-04-13 |
| 1043265630 | Vidya Mave | Internal Medicine | 850 S. Coast Highway, Bethany Beach, DE 19930-0000 | 2006-05-23 |
| 1568849891 | Hannah Adams | General Acute Care Hospital | 39650 Turtle Run, Bethany Beach, DE 19930-3657 | 2015-05-06 |
| 1164443479 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 32979 Coastal Hwy, Bethany Beach, DE 19930-3752 | 2006-07-21 |
| 1033731385 | Ogechi Sophia Obi | Pharmacist | 32979 Coastal Hwy, Bethany Beach, DE 19930-3752 | 2020-05-09 |
| 1770127169 | Armelle Aude Tchoumke Ngassa | Pharmacist | 32979 Coastal Hwy, Bethany Beach, DE 19930-3752 | 2019-10-29 |
| 1437601242 | Kenny D Kwack | Pharmacist | 32979 Coastal Hwy, Bethany Beach, DE 19930-3752 | 2016-10-27 |
| 1194270199 | Lauren Jansing | Pharmacist | 32979 Coastal Hwy, Bethany Beach, DE 19930-3752 | 2016-08-18 |
| Find all providers in zip 19930 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395483 | Pbrx Health Inc | Pharmacy | 3311 Old Capitol Trl Ste B, Wilmington, DE 19808-6209 | 2020-04-21 |
| 1518438506 | Delaware Apothecary | Pharmacy | 1215 Churchmans Rd, Newark, DE 19713-2149 | 2018-12-17 |
| 1235676669 | Saigon Express Pharmacy Inc | Pharmacy | 3613 Silverside Rd, Wilmington, DE 19810-5101 | 2017-01-24 |
| 1235681032 | Jcpr Corp | Pharmacy | 2600 Glasgow Ave Ste 108, Newark, DE 19702-5703 | 2016-10-27 |
| 1255884177 | Seaford Health Services LLC | Pharmacy | 22948 Sussex Hwy, Ste 102, Seaford, DE 19973-5861 | 2016-07-27 |
| 1285088633 | Milford Health Services LLC | Pharmacy | 641 N Dupont Blvd, Milford, DE 19963-1098 | 2016-04-21 |
| 1760843734 | Express Discount Pharmacy LLC | Pharmacy | 4528 Kirkwood Hwy Ste A, Wilmington, DE 19808-5126 | 2016-03-17 |
| 1184000622 | Metro Pharmacy Inc | Pharmacy | 620 Stanton Christiana Rd Ste 102, Newark, DE 19713-2134 | 2015-08-06 |
| 1811388622 | Progressive Health Services | Pharmacy | 200 Broadkill Rd Ste 2, Milton, DE 19968-1010 | 2015-02-16 |
| 1336554575 | Synergy Rx Express LLC | Pharmacy | 18 Penn Mart Shopping Ctr, New Castle, DE 19720-4207 | 2014-06-26 |
| Find all providers with the same taxonomy | ||||
| City | BETHANY BEACH |
| Zip Code | 19930 |
Please comment or provide details below to improve the information on DELAWARE CVS PHARMACY LLC.
| 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.