NPIMap

Organization Active NPI

Radius RX Direct Inc

Doing business as Radius Rx Direct

  • Long Term Care Pharmacy
  • Wilmington, DE
National Provider Identifier
1083865463
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
A30000896 Issued in DE
Legal business name
RADIUS RX DIRECT INC
Doing business as
Radius Rx Direct
Practice address
501 N Shipley St
Unit 2
Wilmington, DE 19801-2226
Phone
(302) 658-9196
Fax
(302) 658-8495
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Kimberly Ewart
Title
Director of Operations
Phone
(302) 658-9196

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X A30000896 DE Primary

Addresses

Primary practice location

501 N Shipley St
Unit 2
Wilmington, DE 19801-2226

Mailing address

PO Box 1159
Wilmington, DE 19899-1159
Phone (302) 658-9196

Other identifiers 2

IdentifierTypeStateIssuer
1083865463MedicaidDE
2118191OtherPK

Other names 1

  • Radius Rx Direct Doing business as

National Provider Directory

National Provider Directory

Locations

501 N Shipley St
Unit 2
Wilmington, DE 19801
Phone (302) 658-9196

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1083865463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1159",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198991159",
            "telephone_number": "302-658-9196",
            "fax_number": "302-658-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N SHIPLEY ST",
            "address_2": "UNIT 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012226",
            "telephone_number": "302-658-9196",
            "fax_number": "302-658-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIUS RX DIRECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "EWART",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "302-658-9196"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "DE",
            "license": "A30000896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083865463",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radius Rx Direct",
            "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 Mar 28, 2017; 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.