Organization Active NPI

Market Street Pharmacy Inc

  • Pharmacist
  • Wilmington, DE
National Provider Identifier
1316005176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A1-0000726 Issued in DE
Legal business name
MARKET STREET PHARMACY INC
Practice address
1914 N Market St
Wilmington, DE 19802-4813
Phone
(302) 421-9200
Fax
(302) 421-9267
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Eric Simpson
Title
Owner
Phone
(302) 421-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X A1-0000726 DE Primary

Addresses

Primary practice location

1914 N Market St
Wilmington, DE 19802-4813

Mailing address

1914 N Market St
Wilmington, DE 19802-4813
Phone (302) 421-9200

Other identifiers 1

IdentifierTypeStateIssuer
1000024037MedicaidDE

Other names 1

  • Market Street Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Market Street Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316005176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024813",
            "telephone_number": "302-421-9200",
            "fax_number": "302-421-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024813",
            "telephone_number": "302-421-9200",
            "fax_number": "302-421-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-421-9200"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0000726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000024037",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.