Active NPI
Erik Mason Mabus, RPH
- Pharmacist
- Dover, DE
National Provider Identifier
1821340043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0003705
- Practice address
- 200 W Loockerman St
Dover, DE 19904-3248 - Phone
- (302) 632-5149
- Fax
- (302) 735-7556
- NPI assigned
- Oct 11, 2012
- 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 | A1-0003705 | DE | Primary |
Addresses
Primary practice location
200 W Loockerman St
Dover, DE 19904-3248
Mailing address
276 Lindley Dr
Dover, DE 19904-3806
Phone (302) 632-5149
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 |
|---|---|---|---|
| A1-0003705 | DE | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1821340043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 LINDLEY DR",
"city": "DOVER",
"state": "DE",
"postal_code": "199043806",
"telephone_number": "302-632-5149",
"fax_number": "302-735-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W LOOCKERMAN ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199043248",
"telephone_number": "302-632-5149",
"fax_number": "302-735-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABUS",
"first_name": "ERIK",
"middle_name": "MASON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.