Active NPI
Tania Leslie Estrada, RPH
- Pharmacist
- Millsboro, DE
National Provider Identifier
1417736406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0015966
- Practice address
- 28516 Dupont Blvd
Millsboro, DE 19966-4739 - Phone
- (302) 934-3190
- NPI assigned
- Sep 27, 2023
- 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 | A1-0015966 | DE | Primary |
Addresses
Primary practice location
28516 Dupont Blvd
Millsboro, DE 19966-4739
Mailing address
3649 Meadow Bridge Rd # 2
Salisbury, MD 21804-1356
Phone (410) 713-8338
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0015966 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
28516 DuPont Blvd
Millsboro, DE 19966
Phone (302) 934-3190
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1417736406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3649 MEADOW BRIDGE RD # 2",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041356",
"telephone_number": "410-713-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28516 DUPONT BLVD",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199664739",
"telephone_number": "302-934-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "TANIA",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0015966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.