Active NPI
Happy Harrys Inc
- Pharmacy
- Middletown, DE
National Provider Identifier
1063435360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- A3-0000903
- Legal business name
- HAPPY HARRYS INC
- Practice address
- 700 S Ridge Ave
Middletown, DE 19709-4649 - Phone
- (302) 378-9512
- Fax
- (302) 378-0413
- NPI assigned
- Jul 26, 2006
- Organization subpart
- Yes
- Parent organization
- WALGREENS HOLDING COMPANY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Ponce
- Title
- Manager
- Phone
- (847) 527-2489
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | A3-0000903 | DE | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
700 S Ridge Ave
Middletown, DE 19709-4649
Mailing address
1901 E Voorhees St
Ms #790
Danville, IL 61834-4509
Phone (847) 527-2489
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0802050 | Other | OTHER ID | |
| 413039100 | Other | MD | MEDICAID DME |
| 0000053307 | Medicaid | DE | |
| 411211300 | Medicaid | MD | |
| 1007303600026 | Medicaid | PA |
Other names 1
- Walgreens #12462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220506000299 | DE | DME Supplier - Pharmacy | 5294763157 | Practice locations: Middletown, DE |
Other NPIs with the same Medicare PAC ID 10
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2038543 | Walgreens #12462 | Certificate of waiver | Aug 31, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Happy Harrys Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
National Provider Directory
National Provider Directory- Part of
- Walgreens Holding Company
Member of 17
Organizations this organization is a member of, according to the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Sauk Rapids, MN
- NPI 1891746111
Member Of
-
- Home Infusion Therapy Pharmacy
- Nashville, TN
- NPI 1326279746
Member Of
Locations
700 S Ridge Ave
Middletown, DE 19709
Phone (302) 378-9512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1063435360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E VOORHEES ST",
"address_2": "MS #790",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618344509",
"telephone_number": "847-527-2489",
"fax_number": "217-709-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S RIDGE AVE",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197094649",
"telephone_number": "302-378-9512",
"fax_number": "302-378-0413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAPPY HARRYS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALGREENS HOLDING COMPANY",
"enumeration_date": "2006-07-26",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "PONCE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-527-2489"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "DE",
"license": "A3-0000903",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID",
"identifier": "0802050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "413039100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000053307",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411211300",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007303600026",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walgreens #12462",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walgreens #12462",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.