First State Pharmacy

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

FIRST STATE PHARMACY

Practice address

405 Silverside Rd Ste 104
Wilmington, DE 19809-1768

Phone

(844) 365-7246

NPI assigned

Dec 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stefanie Paulus

Title

Practice Manager

Phone

(302) 766-5368

Specialties & licenses 4

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1770122764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WILMINGTON W CHESTER PIKE STE 214",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179007",
            "telephone_number": "302-766-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD STE 104",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091768",
            "telephone_number": "844-365-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-766-5368"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmessaging@cip.com",
            "affiliation": "N",
            "address_1": "405 Silverside Rd Ste 104",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198091768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• First State Montessori
• First State Nutrition LLC
• First State Orthopaedics PA
• First State Orthopaedics PA
• First State Orthopaedics, PA
• First State Pharmacy Inc
• First State Rehab at Home, LLC
• First State Spinal Rehabilitation LLC
• First State Spine and Pain Treatment Centers
• First State Youth

• Pain Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Pain Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.