Active NPI
CPH Corp
Doing business as Super Health Pharmacy crofton
- Community/Retail Pharmacy
- Bear, DE
National Provider Identifier
1407461486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CPH CORP
- Doing business as
- Super Health Pharmacy crofton
- Practice address
- 484 Bear Christiana Rd Unit 6
Bear, DE 19701-1039 - Phone
- (302) 663-1244
- Fax
- (302) 351-9023
- NPI assigned
- Sep 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harish Chhibba
- Title
- RPH
- Phone
- (302) 663-1244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
484 Bear Christiana Rd Unit 6
Bear, DE 19701-1039
Mailing address
484 Bear Christiana Rd Unit 6
Bear, DE 19701-1039
Phone (302) 663-1244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250614521 | Medicaid | DE |
Other names 1
- Super Health Pharmacy crofton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210121001680 | DE | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628482205 | Practice locations: Bear, DE |
National Provider Directory
National Provider Directory- Tax ID family
- CPH Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
484 Bear Christiana Rd
#6
Bear, DE 19701
Phone (302) 663-1244
484 Bear Christiana Rd
Unit 6
Bear, DE 19701
Phone (302) 663-1244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756857600000",
"number": "1407461486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 BEAR CHRISTIANA RD UNIT 6",
"city": "BEAR",
"state": "DE",
"postal_code": "197011039",
"telephone_number": "302-663-1244",
"fax_number": "302-351-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 BEAR CHRISTIANA RD UNIT 6",
"city": "BEAR",
"state": "DE",
"postal_code": "197011039",
"telephone_number": "302-663-1244",
"fax_number": "302-351-9023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPH CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-15",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A",
"authorized_official_last_name": "CHHIBBA",
"authorized_official_first_name": "HARISH",
"authorized_official_title_or_position": "RPH",
"authorized_official_telephone_number": "302-663-1244"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250614521",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Super Health Pharmacy crofton",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.