DELAWARE CVS PHARMACY LLC (NPI# 1861707200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861707200 |
| Entity Type | Organization |
| Organization Name | DELAWARE CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17621 |
| Practice Address |
800 Christiana Mall Newark DE 19702-3216 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3026694010 |
| Practice Fax Number | 3026694011 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 |
A3-0000995 | DE | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126184 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17621 | 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 |
| 1063726537 | Delaware Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 988 Forrest Street, Dover, DE 19904 | 2010-07-27 |
| Street Address |
800 CHRISTIANA MALL |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730479437 | Kevin Patrick Onorio | Pharmacist | 800 Christiana Mall, Newark, DE 19702-3216 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| 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 |
|---|---|---|---|---|
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1518438506 | Delaware Apothecary | Pharmacy | 1215 Churchmans Rd, Newark, DE 19713-2149 | 2018-12-17 |
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1770011371 | Apollo Pharmacy Inc | Pharmacy | 130 Summer Ave, Newark, NJ 07104-1903 | 2017-05-25 |
| 1235681032 | Jcpr Corp | Pharmacy | 2600 Glasgow Ave Ste 108, Newark, DE 19702-5703 | 2016-10-27 |
| 1750835104 | Trinity Global Pharmacy LLC. | Pharmacy | 287 S Orange Ave, Newark, NJ 07103-2438 | 2016-08-14 |
| 1184000622 | Metro Pharmacy Inc | Pharmacy | 620 Stanton Christiana Rd Ste 102, Newark, DE 19713-2134 | 2015-08-06 |
| 1538557178 | Obeng Pharmacy LLC | Pharmacy | 671 Martin Luther King Jr Blvd, Newark, NJ 07102-1186 | 2015-01-06 |
| 1790917037 | Trimax Medical Services Inc | Pharmacy | 1299 Mccarter Hwy, Newark, NJ 07104-3757 | 2009-08-20 |
| 1720241649 | Option Care Enterprises Inc | Pharmacy | 604 White Clay Center Dr, Newark, DE 19711 | 2008-07-10 |
| Find all providers in NEWARK | ||||
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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.