Active NPI
Delaware Supermarkets Inc
- Community/Retail Pharmacy
- Bear, DE
National Provider Identifier
1902212830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- A3-0000895
- Legal business name
- DELAWARE SUPERMARKETS INC
- Practice address
- 1101 Governors PL
Bear, DE 19701 - Phone
- (302) 392-2891
- Fax
- (302) 392-2892
- NPI assigned
- Jul 11, 2014
- Last updated
- Jun 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Figueroa Rivera
- Title
- Third Party Administrator
- Phone
- (732) 521-8439
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | A3-0000895 | DE | Primary |
Addresses
Primary practice location
1101 Governors PL
Bear, DE 19701
Mailing address
PO Box 15169
Newark, NJ 07192-5169
Phone (302) 392-2891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146862 | Other | PK |
National Provider Directory
National Provider DirectoryLocations
1101 Governors Pl
Bear, DE 19701
Phone (302) 392-2891
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Wilmington, DE
- NPI 1659602985
-
- Pharmacist
- Wilmington, DE
- NPI 1114258472
-
- Pharmacist
- Wilmington, DE
- NPI 1912503764
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bear, DE
- NPI 1659528933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528156800000",
"number": "1902212830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15169",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071925169",
"telephone_number": "302-392-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 GOVERNORS PL",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-392-2891",
"fax_number": "302-392-2892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE SUPERMARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-11",
"last_updated": "2018-06-05",
"status": "A",
"authorized_official_last_name": "FIGUEROA RIVERA",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
"authorized_official_telephone_number": "732-521-8439"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "DE",
"license": "A3-0000895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2146862",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.