STATE OF DELAWARE (NPI# 1851340350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851340350 |
| Entity Type | Organization |
| Organization Name | STATE OF DELAWARE |
| Other Organization Name | DE HOSPITAL FOR THE CHRONICALLY ILL-PHARMACY |
| Practice Address |
100 Sunnyside Road Smyrna DE 19977-1752 |
| Practice Telephone | 3022231373 |
| Mailing Telephone | 3022231373 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-11-02 |
| NPI Deactivation Date | 02/22/2012 |
| NPI Reactivation Date | 2013-07-03 |
| Authorized Official Name | MR. BARNABAS KERKULA (HOSPITAL DIRECTOR) |
| Authorized Official Telephone | 3022231200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
A30000691 | DE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 00001210149 | 05 | |
| DE | 0000121049 | 05 |
| Other Name | Type Code |
|---|---|
| DE Hospital for the Chronically Ill-Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669977930 | State of Delaware | Case Management | 1054 S Governors Ave, Dover, DE 19904-6920 | 2018-03-28 |
| 1114283850 | State of Delaware | Clinic/Center | 669 S Carter Rd, Smyrna, DE 19977-1752 | 2012-04-06 |
| 1932243805 | State of Delaware | Local Education Agency (LEA) | 945 Forest St, Dover, DE 19904-3401 | 2007-02-16 |
| 1841334711 | State of Delaware | Local Education Agency (LEA) | 318 E Basin Rd, New Castle, DE 19720-4214 | 2007-02-16 |
| 1568506434 | State of Delaware | Local Education Agency (LEA) | 519 N Market St, Wilmington, DE 19801-3004 | 2007-02-16 |
| 1730223603 | State of Delaware | Local Education Agency (LEA) | 82 Monrovia Ave, Smyrna, DE 19977-1431 | 2007-02-16 |
| 1194869065 | State of Delaware | Local Education Agency (LEA) | 1121 Thatcher St, Wilmington, DE 19802-5135 | 2007-02-16 |
| 1487798351 | State of Delaware | Local Education Agency (LEA) | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2007-02-16 |
| 1013051986 | State of Delaware | Local Education Agency (LEA) | 21 N Bradford St, Dover, DE 19904-3101 | 2007-02-16 |
| 1740324615 | State of Delaware | Local Education Agency (LEA) | 2200 N Locust St, Wilmington, DE 19802-4429 | 2007-02-16 |
| Street Address |
100 SUNNYSIDE ROAD |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-1752 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1891231734 | Rams Pharmacy LLC | Pharmacy | 1210 Hazelwood Dr Ste D, Smyrna, TN 37167-3964 | 2017-01-17 |
| 1508145806 | Pharmacy Network Services | Pharmacy | 871 Seven Oaks Blvd, Smyrna, TN 37167-6481 | 2011-08-04 |
| 1457374837 | Steve Wilson Inc | Pharmacy | 4015 S Cobb Dr Se, Suite 130, Smyrna, GA 30080-6303 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438476 | Op Pharmacy LLC | Pharmacy | 300 Biddle Ave Ste 205, Newark, DE 19702-3972 | 2020-02-12 |
| 1043615701 | Meds Your Way, Inc. | Pharmacy | 102 Jestan Blvd, New Castle, DE 19720 | 2014-10-23 |
| 1528226362 | New Castle Rx, LLC | Pharmacy | 263 Quigley Blvd, Suite 1b, New Castle, DE 19720-8112 | 2008-05-29 |
| 1689756462 | Fulcrum Pharmacy Management Inc | Pharmacy | 501 N Shipley St, Unit 1, Wilmington, DE 19801-2252 | 2006-10-20 |
| 1992953988 | Suburban Medical Services, LLC | Pharmacy | 600 White Clay Center Dr, Newark, DE 19711-5455 | 2008-09-03 |
| 1326174103 | Wilmington Hospital Pharmacy, Riverside | Pharmacy | 501 W 14th St, Wilmington, DE 19801-1013 | 2007-02-26 |
| 1184768996 | Beebe Medical Center | Pharmacy | 424 Savannah Rd, Lewes, DE 19958-1462 | 2007-02-16 |
Please comment or provide details below to improve the information on STATE OF DELAWARE.
| 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.