Organization Active NPI

State of Delaware

  • Long Term Care Pharmacy
  • Smyrna, DE
National Provider Identifier
1851340350
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
A30000691 Issued in DE
Legal business name
STATE OF DELAWARE
Practice address
100 Sunnyside Road
Smyrna, DE 19977-1752
Phone
(302) 223-1373
NPI assigned
May 10, 2006
Reactivated
Jul 3, 2013
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Laureen Cahall
Title
Fiscal Advisor II
Phone
(302) 223-1518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X A30000691 DE Primary

Addresses

Primary practice location

100 Sunnyside Road
Smyrna, DE 19977-1752

Mailing address

100 Sunnyside Rd
Smyrna, DE 19977-1752
Phone (302) 223-1373

Other identifiers 2

IdentifierTypeStateIssuer
0000121049MedicaidDE
00001210149MedicaidDE

Other names 1

  • Delaware Hospital for the Chronically Ill Other name

National Provider Directory

National Provider Directory
Tax ID family
Psychiatry Delaware Sta131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1851340350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUNNYSIDE RD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771752",
            "telephone_number": "302-223-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUNNYSIDE ROAD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771752",
            "telephone_number": "302-223-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "deactivation_date": "2012-02-22",
        "reactivation_date": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "CAHALL",
        "authorized_official_first_name": "LAUREEN",
        "authorized_official_title_or_position": "FISCAL ADVISOR II",
        "authorized_official_telephone_number": "302-223-1518"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "DE",
            "license": "A30000691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000121049",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001210149",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Hospital for the Chronically Ill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.