Forest Pharmacy LLC

Organization Active NPI Community/Retail Pharmacy · Dover, DE

NPI 1639848997 · NPPES record last updated May 30, 2025

Key facts

NPI
1639848997
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
FOREST PHARMACY LLC
Practice address
1030 Forrest Ave Ste 111
Dover, DE 19904-3382
Phone
(302) 990-3131
Fax
(302) 990-3135
NPI assigned
Sep 9, 2021
Organization subpart
No

Authorized official

Name
Safwat Ibrahium NPI 1497168553
Title
Owner
Phone
(646) 409-6020

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220125001889 DE Part B Supplier - Pharmacy 5890187876 Practice locations: Dover, DE

National Provider Directory

Locations

1030 Forrest Ave
Ste 111
Dover, DE 19904
Phone (302) 990-3131

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

1030 Forrest Ave Ste 111
Dover, DE 19904-3382

Mailing address

1030 Forrest Ave Ste 111
Dover, DE 19904-3382
Phone (302) 990-3131

Other identifiers

IdentifierTypeStateIssuer
250660366MedicaidDE

Other providers in Dover, DE

All providers in Dover, DE · Community/Retail Pharmacy in Delaware

Sources for this page

Verify at the official NPI Registry.