Active NPI
George Fountzoulas, DOCTOR OF PHARMACY
- Pharmacist
- Newark, DE
National Provider Identifier
1306321922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0005313
- Practice address
- 2719 Pulaski Hwy
Newark, DE 19702-3960 - Phone
- (302) 453-4800
- NPI assigned
- Sep 28, 2018
- Last updated
- Jul 13, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0005313 | DE | Primary |
Addresses
Primary practice location
2719 Pulaski Hwy
Newark, DE 19702-3960
Mailing address
1902 Walmsley Dr
Wilmington, DE 19808-4860
Phone (302) 530-9705
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 |
|---|---|---|---|
| A1-0005313 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Harrys Inc | Current | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Locations
2719 Pulaski Hwy
Newark, DE 19702
Phone (302) 453-4800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 11268
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562976000000",
"number": "1306321922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 WALMSLEY DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198084860",
"telephone_number": "302-530-9705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 PULASKI HWY",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023960",
"telephone_number": "302-453-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUNTZOULAS",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2019-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0005313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.