Del Mar Pharmacy SC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DEL MAR PHARMACY SC

Practice address

1000 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203

Phone

(414) 220-0620

Fax

(414) 369-4301

NPI assigned

Dec 28, 2018

Organization subpart

No

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

Authorized official

Name

Vipul Patel

Title

Owner

Phone

(414) 220-0620

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Midtown Pharmacy 3 Doing business as

Locations

Practitioners 1

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

• Neha Bhatt

  • Pharmacist
  • Greendale, WI
  • NPI 1528651569
  NPD

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1093287237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S CESAR E CHAVEZ DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042203",
            "telephone_number": "414-220-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S CESAR E CHAVEZ DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042203",
            "telephone_number": "414-220-0620",
            "fax_number": "414-369-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL MAR PHARMACY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-220-0620"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "9542-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Pharmacy 3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midtown Pharmacy 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Neal Dejongh
• Brian Dekarske, PHARMD
• Richard Joseph Deklotz, M.D.
• Brittany Dekoch, MS
• Leah Marie Del Gaudio, N.P.
• Melissa Lynn Del Rosario, LPC
• David Del Toro, MD
• Tiodolo Delagarza III, SAC-IT
• Joshua Delahan, MSW
• Stephen P Delahunt, MD

• Community/Retail Pharmacy in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.