Organization Active NPI

Shorecare Vaccines LLC

  • Pharmacist
  • Millville, DE
National Provider Identifier
1902670912
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
SHORECARE VACCINES LLC
Practice address
31182 Victor Rd
Millville, DE 19967-6720
Phone
(443) 617-2576
NPI assigned
Nov 9, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Gabriel Kantor, PHARM D.NPI 1326529579
Title
Owner
Phone
(443) 617-2576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X Primary

Addresses

Primary practice location

31182 Victor Rd
Millville, DE 19967-6720

Mailing address

31182 Victor Rd
Millville, DE 19967-6720
Phone (443) 617-2576

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1902670912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31182 VICTOR RD",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676720",
            "telephone_number": "443-617-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31182 VICTOR RD",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676720",
            "telephone_number": "443-617-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORECARE VACCINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-617-2576",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.