Organization Active NPI

Family Pharmacy Inc

Doing business as Family Pharmacy

  • Community/Retail Pharmacy
  • Wilmington, DE
National Provider Identifier
1083761134
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
A3-0000586 Issued in DE
Legal business name
FAMILY PHARMACY INC
Doing business as
Family Pharmacy
Practice address
1416 Lancaster Ave
Bayard Square
Wilmington, DE 19805-3905
Phone
(302) 652-1994
Fax
(302) 652-6960
NPI assigned
Jan 4, 2007
Last updated
Oct 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ifeanyi Mmagu, PHRMDNPI 1801293378
Title
RPH
Phone
(302) 652-1994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X A3-0000586 DE Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1416 Lancaster Ave
Bayard Square
Wilmington, DE 19805-3905

Mailing address

PO Box 30410
Wilmington, DE 19805-7410
Phone (302) 652-1994

Other identifiers 2

IdentifierTypeStateIssuer
2003729OtherPK
0000572107MedicaidDE

Other names 1

  • FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1083761134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30410",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198057410",
            "telephone_number": "302-652-1994",
            "fax_number": "302-652-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 LANCASTER AVE",
            "address_2": "BAYARD SQUARE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053905",
            "telephone_number": "302-652-1994",
            "fax_number": "302-652-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "MMAGU",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "302-652-1994",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DE",
            "license": "A3-0000586",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2003729",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000572107",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.