ATLANTIC APOTHECARY, INC (NPI# 1609065283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609065283 |
| Entity Type | Organization |
| Organization Name | ATLANTIC APOTHECARY, INC |
| Other Organization Name | ATLANTIC APOTHECARY |
| Practice Address |
103 S Dupont Blvd Ste 2 Smyrna DE 19977-1549 |
| Mailing Address |
103 S Dupont Blvd Ste. 2 Smyrna DE 19977-1549 |
| Practice Telephone | 3026539355 |
| Practice Fax Number | 3026539388 |
| Mailing Telephone | 3026539355 |
| Mailing Fax Number | 3026539388 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | KENNETH MUSTO (OWNER) |
| Authorized Official Telephone | 3023996413 |
| Authorized Official Credential | BS-RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
A3-0000999 | DE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 200039408 | 05 | |
| PK | 2004066 | 01 |
| Other Name | Type Code |
|---|---|
| ATLANTIC APOTHECARY | Doing Business As Name - Organization |
| Street Address |
103 S DUPONT BLVD STE 2 |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277560 | Melissa Anne Urian | Pharmacist | 103 S Dupont Blvd Ste 2, Smyrna, DE 19977-1549 | 2017-07-11 |
| 1316468416 | Amy Lee Disabella | Pharmacist | 103 S Dupont Blvd Ste 2, Smyrna, DE 19977-1549 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027084 | Focus Pharmacy | Pharmacy | 117 E Glenwood Ave, Smyrna, DE 19977-1424 | 2019-05-09 |
| 1508362310 | Value Pharmacy LLC | Pharmacy | 1400 Hazelwood Dr, Smyrna, TN 37167-3954 | 2018-04-02 |
| 1295242477 | Ajueyitsi Holdings Inc | Pharmacy | 579 Concord Rd Se Ste 400, Smyrna, GA 30082-2627 | 2018-01-09 |
| 1982954095 | Peachtree Pharmacy & Medical Supply, Inc. | Pharmacy | 579 Concord Rd Se Ste 900, Smyrna, GA 30082-2739 | 2012-09-17 |
| 1962688986 | Tennessee Cvs Pharmacy LLC | Pharmacy | 803 Industrial Blvd, Smyrna, TN 37167-6865 | 2008-01-22 |
| 1164526091 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 4345 S Cobb Dr Se, Smyrna, GA 30080-6331 | 2006-09-12 |
| 1952312597 | Vina Pharmacy | Pharmacy | 969 Windy Hill Rd Se, Ste N, Smyrna, GA 30080-2003 | 2006-08-10 |
| 1366459372 | Walgreen Co | Pharmacy | 806 Nissan Dr, Smyrna, TN 37167-4447 | 2006-08-02 |
| 1902813983 | Walgreen Co | Pharmacy | 2670 Cobb Pkwy Se, Smyrna, GA 30080-3014 | 2006-08-02 |
| 1356367932 | Walgreen Co | Pharmacy | 700 Jimmy Dr, Smyrna, DE 19977-5806 | 2006-07-15 |
| Find all providers in SMYRNA | ||||
Please comment or provide details below to improve the information on ATLANTIC APOTHECARY, INC.
| 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.