NPIMap

Organization Active NPI

Tidalhealth Home Scripts Millsboro

  • Community/Retail Pharmacy
  • Millsboro, DE
National Provider Identifier
1821492745
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
A3-0000981 Issued in DE
Legal business name
TIDALHEALTH HOME SCRIPTS MILLSBORO
Practice address
30265 Commerce Dr
Suite 106 a
Millsboro, DE 19966-3593
Phone
(302) 297-2596
Fax
(302) 297-2597
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
William Cooper, P.D.
Title
Ambulatory Phcy MGR, Pic
Phone
(410) 543-7047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X A3-0000981 DE Primary

Addresses

Primary practice location

30265 Commerce Dr
Suite 106 a
Millsboro, DE 19966-3593

Mailing address

30265 Commerce Dr
Suite 106 a
Millsboro, DE 19966-3593
Phone (302) 297-2596

Other identifiers 1

IdentifierTypeStateIssuer
2151265OtherPK

Other names 1

  • PRMC Home Scripts Millsboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peninsula Regional Medical Center33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1821492745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR",
            "address_2": "SUITE 106 A",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663593",
            "telephone_number": "302-297-2596",
            "fax_number": "302-297-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR",
            "address_2": "SUITE 106 A",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663593",
            "telephone_number": "302-297-2596",
            "fax_number": "302-297-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH HOME SCRIPTS MILLSBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2025-09-02",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AMBULATORY PHCY MGR, PIC",
        "authorized_official_telephone_number": "410-543-7047",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DE",
            "license": "A3-0000981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRMC Home Scripts Millsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.