Active NPI
Atlantic Apothecary Middletown Inc
Doing business as Atlantic Apothecary Camden
- Community/Retail Pharmacy
- Camden, DE
National Provider Identifier
1932548740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- A3-0001024
- Legal business name
- ATLANTIC APOTHECARY MIDDLETOWN INC
- Doing business as
- Atlantic Apothecary Camden
- Practice address
- 2 S Main St
Camden, DE 19934 - Phone
- (302) 697-9355
- Fax
- (302) 387-1744
- NPI assigned
- Jun 14, 2013
- Last updated
- Aug 17, 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
- Kenneth (Kevin) Musto
- Title
- Owner/President
- Phone
- (302) 653-9355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | A3-0001024 | DE | Primary |
Addresses
Primary practice location
2 S Main St
Camden, DE 19934
Mailing address
103 S Dupont Blvd
Suite 2
Smyrna, DE 19977-1549
Phone (302) 653-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141519 | Other | PK |
Other names 1
- Atlantic Apothecary Camden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140729000009 | DE | Part B Supplier - Mass Immunization (Roster Biller Only) | 0749406734 | Practice locations: Camden, DE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2073810 | Atlantic Apothecary Camden Wellness | Certificate of waiver | Feb 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
118 Sandhill Dr
Ste 101
Middletown, DE 19709
Phone (302) 376-5066
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
- Smyrna, DE
- NPI 1316468416
-
- Pharmacist
- Camden, DE
- NPI 1265105522
-
- Pharmacist
- Smyrna, DE
- NPI 1497277560
-
- Pharmacist
- Camden, DE
- NPI 1134488588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1932548740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 S DUPONT BLVD",
"address_2": "SUITE 2",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771549",
"telephone_number": "302-653-9355",
"fax_number": "302-653-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S MAIN ST",
"city": "CAMDEN",
"state": "DE",
"postal_code": "19934",
"telephone_number": "302-697-9355",
"fax_number": "302-387-1744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC APOTHECARY MIDDLETOWN INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-14",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "MUSTO",
"authorized_official_first_name": "KENNETH (KEVIN)",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "302-653-9355"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "DE",
"license": "A3-0001024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2141519",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlantic Apothecary Camden",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Camden, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.