PENINSULA REGIONAL MEDICAL CENTER (NPI# 1821492745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821492745 |
Entity Type | Organization |
Organization Name | PENINSULA REGIONAL MEDICAL CENTER |
Other Organization Name | PRMC HOME SCRIPTS MILLSBORO |
Practice Address |
30265 Commerce Dr Suite 106 A Millsboro DE 19966-3593 |
Practice Telephone | 3022972596 |
Practice Fax Number | 3022972597 |
Mailing Telephone | 3022972596 |
Mailing Fax Number | 3022972597 |
Enumeration Date | 2014-10-21 |
Last Update Date | 2015-05-14 |
Authorized Official Name | WILLIAM COOPER (AMBULATORY PHCY MGR, PIC) |
Authorized Official Telephone | 4105437047 |
Authorized Official Credential | P.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
A3-0000981 | DE | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2151265 | 01 |
Other Name | Type Code |
---|---|
PRMC Home Scripts Millsboro | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
1659513273 | Peninsula Regional Medical Center | Family Medicine | 428 W Market St, Snow Hill Family Medicine, Snow Hill, MD 21863-1127 | 2009-03-27 |
1295977817 | Peninsula Regional Medical Center | Family Medicine | 142 Atlantic Ave Ste 3, Ocean View Family Medicine, Millville, DE 19967-6772 | 2009-03-27 |
1376785998 | Peninsula Regional Medical Center | Emergency Medicine | 1655 Woodbrooke Dr Ste 104, Salisbury, MD 21804-8502 | 2009-03-27 |
1255882254 | Peninsula Regional Medical Center | General Acute Care Hospital | 909 Progress Circle, Peninsula Regional Weight Loss & Wellness Center, Salisbury, MD 21804 | 2016-10-14 |
1508280108 | Peninsula Regional Medical Center | General Acute Care Hospital | 100 E Carroll St, Salisbury, MD 21801-5422 | 2014-02-18 |
1518399252 | Peninsula Regional Medical Center | Dietitian, Registered | 1415 S Division St, Salisbury, MD 21804-7291 | 2013-08-05 |
1861836330 | Peninsula Regional Medical Center | General Acute Care Hospital | 30265 Commerce Dr, Delmarva Health Pavilion, Millsboro, DE 19966-3593 | 2013-04-26 |
1023240769 | Peninsula Regional Medical Center | Internal Medicine | 560 Riverside Dr, Suite A 206, Salisbury, MD 21801-4700 | 2009-08-13 |
1508000746 | Peninsula Regional Medical Center | Internal Medicine | 100 E Carroll St, Salisbury, MD 21801-5422 | 2009-04-30 |
Street Address |
30265 COMMERCE DR SUITE 106 A |
City | MILLSBORO |
State | DE |
Zip Code | 19966-3593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215934245 | Harry A Lehman IIi | Pediatrics | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2005-07-05 |
1598148231 | Sabina Bonfadini | Nurse Practitioner | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2015-06-30 |
1942688197 | Peninsula Regional Rehabilitation, LLC | Physical Therapist | 30265 Commerce Dr, Suite 105, Millsboro, DE 19966-3593 | 2015-05-08 |
1861887341 | Thomas Mclean | Pharmacist | 30265 Commerce Dr, Suite 106a, Millsboro, DE 19966-3593 | 2015-04-01 |
1902207681 | Joseph Zimmerman | Physical Therapy Assistant | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2014-09-12 |
1689085847 | Peninsula-nrh Regional Rehabilitation | Clinic/Center | 30265 Commerce Dr, Suite 105, Millsboro, DE 19966-3593 | 2014-05-09 |
1861836330 | Peninsula Regional Medical Center | General Acute Care Hospital | 30265 Commerce Dr, Delmarva Health Pavilion, Millsboro, DE 19966-3593 | 2013-04-26 |
1902194376 | Amudha Boopathi | Pediatrics | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2011-07-19 |
1841464054 | Sareen Christine Barbouletos | Internal Medicine | 30265 Commerce Dr, Suite 207, Millsboro, DE 19966-3593 | 2008-04-17 |
1932239381 | Melinda Ricker | Physician Assistant | 30265 Commerce Dr, Suite 207, Millsboro, DE 19966-3593 | 2007-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376178459 | Ashkan Ashkani | Physical Therapist | Back Bay Area Park Center, 26396 Bay Farm Rd, Unit #1, Millsbro, DE 19966 | 2020-03-09 |
1962053330 | Ryan P Tezak | Physical Therapist | 30166 Commerce Dr, Millsboro, DE 19966 | 2019-09-26 |
1598222390 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 30166 Commerce Drive, Millsboro, DE 19966 | 2019-02-27 |
1285106591 | Coastal Counseling | Clinic/Center | 5 Chelsea Square, Millsboro, DE 19966 | 2018-12-27 |
1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
1740774215 | Melissa Alyanna Gorospe Lasig | Physical Therapist | 2315 Washington Street, Millsboro, DE 19966 | 2018-06-19 |
1205344728 | Rehabilitation Consultants, Inc. | Clinic/Center | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | 2018-01-18 |
1073044095 | Swapna Bhupathi | Physical Therapist | Atlantic Shore Rehab and Health Center, 231 S Washington Street, Millsboro, DE 19966 | 2017-03-22 |
1447618178 | Ashley Deering | Physical Therapy Assistant | 20383 Charlotte Blvd, Millsboro, DE 19966 | 2016-02-09 |
1073971537 | Jennifer Noonan | Registered Nurse | 34141 Minnow Lane, Long Neck, DE 19966 | 2016-01-29 |
Find all providers in zip 19966 |
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 |
---|---|---|---|---|
1710158423 | Harris Teeter, Inc. | Pharmacy | 26370 Bay Farm Rd., Millsboro, DE 19966 | 2008-03-20 |
1629457734 | Meher Health Services LLC | Pharmacy | 32362 Long Neck Rd Unit 5, Millsboro, DE 19966-9062 | 2015-05-21 |
1245621903 | Omshree Corporation | Pharmacy | 32038 Long Neck Rd, Millsboro, DE 19966-6228 | 2015-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461486 | Cph Corp | Pharmacy | 484 Bear Christiana Rd Unit 6, Bear, DE 19701-1039 | 2020-09-15 |
1881233146 | Santram Health LLC | Pharmacy | 4598 S Dupont Hwy, Camden, DE 19934-1380 | 2020-01-03 |
1568027084 | Focus Pharmacy | Pharmacy | 117 E Glenwood Ave, Smyrna, DE 19977-1424 | 2019-05-09 |
1831671932 | Greenhill Specialty Pharmacy LLC. | Pharmacy | 2500 W 4th St # 2, Wilmington, DE 19805-3367 | 2018-09-05 |
1962984062 | Ekantik LLC | Pharmacy | 692 N Dupont Blvd # 692, Milford, DE 19963-1002 | 2018-09-05 |
1730677998 | Delaware Cvs Pharmacy LLC | Pharmacy | 604 Corner Ketch Rd, Newark, DE 19711-2901 | 2018-04-24 |
1639537111 | Unioncare Pharmacy LLC | Pharmacy | 408 N Union St, Wilmington, DE 19805-3026 | 2016-01-29 |
1437495371 | Ainsley's Pharmacy LLC | Pharmacy | 3610 Miller Rd, Wilmington, DE 19802-2524 | 2012-12-21 |
1235474032 | Cape Rx LLC | Pharmacy | 38 Eagle Dr, Rehoboth Beach, DE 19971-1445 | 2012-12-05 |
1124375738 | Delaware Cvs Pharmacy LLC | Pharmacy | 1605 Telegraph Rd, Wilmington, DE 19804-4113 | 2012-08-14 |
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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.