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
- Title
- Owner
- Phone
- (646) 409-6020
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250660366 | Medicaid | DE |
Other providers in Dover, DE
- Allison Nicole Ford
- Kimberly Ford
- Paul W Ford
- Suzanne Irene Ford
- Foresight Health Medical PA
- Forrest Family Chiropractic
- Forrest Family Chiropractic Center LLC
- Erin Forrest
- Christopher C Fortin
- Maureen Foss
All providers in Dover, DE · Community/Retail Pharmacy in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.