Active NPI
Amy Lee Disabella
- Pharmacist
- Smyrna, DE
National Provider Identifier
1316468416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0002840
- Practice address
- 103 S Dupont Blvd Ste 2
Smyrna, DE 19977-1549 - Phone
- (302) 653-9355
- NPI assigned
- Jun 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | A1-0002840 | DE | Primary |
Addresses
Primary practice location
103 S Dupont Blvd Ste 2
Smyrna, DE 19977-1549
Mailing address
31 Shawn LN
Bear, DE 19701-6334
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 |
|---|---|---|---|
| A1-0002840 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Apothecary Middletown Inc | Past | Accepting new patients | |
| Atlantic Apothecary, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Atlantic Apothecary Camden
- Community/Retail Pharmacy
- Camden, DE
- NPI 1932548740
-
dba Atlantic Apothecary
- Community/Retail Pharmacy
- Smyrna, DE
- NPI 1609065283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498694400000",
"number": "1316468416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SHAWN LN",
"city": "BEAR",
"state": "DE",
"postal_code": "197016334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S DUPONT BLVD STE 2",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771549",
"telephone_number": "302-653-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISABELLA",
"first_name": "AMY",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2017-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0002840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.