Active NPI
Edward Gesweld Salacuse, PHARMACIST
- Pharmacist
- Wilmington, DE
National Provider Identifier
1245418441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0001737
- Practice address
- 4365 Kirkwood Hwy
Wilmington, DE 19808-5113 - Phone
- (302) 995-2291
- Fax
- (302) 892-9176
- NPI assigned
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0001737 | DE | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | A1-0001737 | DE |
Addresses
Primary practice location
4365 Kirkwood Hwy
Wilmington, DE 19808-5113
Mailing address
4365 Kirkwood Hwy
Wilmington, DE 19808-5113
Phone (302) 995-2291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1-0001737 | Other | DE | PHARMACY STATE LICENSE NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0001737 | DE | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1245418441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4365 KIRKWOOD HWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085113",
"telephone_number": "302-995-2291",
"fax_number": "302-892-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4365 KIRKWOOD HWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085113",
"telephone_number": "302-995-2291",
"fax_number": "302-892-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALACUSE",
"first_name": "EDWARD",
"middle_name": "GESWELD",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0001737",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "DE",
"license": "A1-0001737",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENSE NO",
"identifier": "A1-0001737",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.