Active NPI
Vincent Nicholas Madaline, PHARMD
- Pharmacist
- Wilmington, DE
National Provider Identifier
1497030803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0003587
- Practice address
- 2119 Concord Pike
Wilmington, DE 19803-2906 - Phone
- (302) 656-4333
- Fax
- (302) 656-4350
- NPI assigned
- Oct 17, 2011
- 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 | A1-0003587 | DE | Primary |
Addresses
Primary practice location
2119 Concord Pike
Wilmington, DE 19803-2906
Mailing address
2119 Concord Pike
Wilmington, DE 19803-2906
Phone (302) 656-4333
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0003587 | DE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1497030803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 CONCORD PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032906",
"telephone_number": "302-656-4333",
"fax_number": "302-656-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 CONCORD PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032906",
"telephone_number": "302-656-4333",
"fax_number": "302-656-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADALINE",
"first_name": "VINCENT",
"middle_name": "NICHOLAS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.