Organization Active NPI

Delekta Pharmacy Inc

  • Pharmacy
  • Warren, RI
National Provider Identifier
1932200649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHA00016 Issued in RI
Legal business name
DELEKTA PHARMACY INC
Practice address
496 Main St
Warren, RI 02885-4369
Phone
(401) 245-6767
Fax
(401) 245-8769
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric J Delekta
Title
President
Phone
(401) 245-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHA00016 RI Primary

Addresses

Primary practice location

496 Main St
Warren, RI 02885-4369

Mailing address

496 Main St
Warren, RI 02885-4369
Phone (401) 245-6767

Other identifiers 1

IdentifierTypeStateIssuer
DP00000MedicaidRI

National Provider Directory

National Provider Directory

Locations

496 Main St
Warren, RI 02885
Phone (401) 245-6767

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932200649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 MAIN ST",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028854369",
            "telephone_number": "401-245-6767",
            "fax_number": "401-245-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 MAIN ST",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028854369",
            "telephone_number": "401-245-6767",
            "fax_number": "401-245-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELEKTA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELEKTA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-245-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "RI",
            "license": "PHA00016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DP00000",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.