Rehoboth Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

A3-000952 Issued in DE

Legal business name

REHOBOTH PHARMACY INC

Doing business as

Rehoboth Pharmacy Inc

Practice address

2616 Philadelphia Pike Ste B
Unit B
Claymont, DE 19703-2520

Phone

(302) 798-8900

Fax

(302) 798-8100

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Nwakaego Chukwunenye, MBA, PHARMD

Title

Pharmacy Mananger

Phone

(302) 798-8900

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Rehoboth Pharmacy Inc Doing business as

Locations

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1174870695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 PHILADELPHIA PIKE STE B",
            "address_2": "UNIT B",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032520",
            "telephone_number": "302-798-8900",
            "fax_number": "302-798-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 PHILADELPHIA PIKE STE B",
            "address_2": "UNIT B",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032520",
            "telephone_number": "302-798-8900",
            "fax_number": "302-798-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "CHUKWUNENYE",
        "authorized_official_first_name": "NWAKAEGO",
        "authorized_official_title_or_position": "PHARMACY MANANGER",
        "authorized_official_telephone_number": "302-798-8900",
        "authorized_official_credential": "MBA, PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DE",
            "license": "A3-000952",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174870695",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehoboth Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Claymont, DE
• Providers in Claymont, 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 Jul 19, 2018; 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.