Tidalhealth Nanticoke, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TIDALHEALTH NANTICOKE, INC

Doing business as

TidalHealth Community Pharmacy
TidalHealth Home Scripts Nanticoke

Practice address

801 Middleford Rd
Seaford, DE 19973-3636

Phone

(302) 297-2420

Fax

(302) 297-2421

NPI assigned

Mar 21, 2023

Last updated

Mar 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin JohnsonNPI 1023812849

Title

Director of Ambulatory Pharmacy SVC

Phone

(410) 543-7745

Specialties & licenses 1

Addresses

Other names 2

• TidalHealth Community Pharmacy Doing business as
• TidalHealth Home Scripts Nanticoke Doing business as

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.

• Kevin J Johnson, PHARMD

  • Pharmacist
  • Salisbury, MD
  • NPI 1023812849
  Authorized official Same address or phone

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1114629227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733636",
            "telephone_number": "302-297-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733636",
            "telephone_number": "302-297-2420",
            "fax_number": "302-297-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH NANTICOKE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF AMBULATORY PHARMACY SVC",
        "authorized_official_telephone_number": "410-543-7745"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TidalHealth Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TidalHealth Home Scripts Nanticoke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Diane Thompson, LPCMH
• Kathy Thompson
• Shaniece Nicole Thompson
• Three RV Medical, LLC
• Thrift Drug Inc (Rite Aid Pharmacy 11194)
• Tidalhealth Nanticoke, Inc
• Tidalhealth Nanticoke, Inc
• Tidalhealth Physician Network, Inc.
• Tidalhealth Physician Network, Inc.
• Tidalhealth Physician Network, Inc.

• Community/Retail Pharmacy in Seaford, DE
• Providers in Seaford, DE by specialty
• Community/Retail Pharmacy in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.