Organization Active NPI

Atlantic Apothecary Middletown Inc

Doing business as Atlantic Apothecary Camden

  • Community/Retail Pharmacy
  • Camden, DE
National Provider Identifier
1932548740
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
A3-0001024 Issued in DE
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2141519OtherPK

Other names 1

  • Atlantic Apothecary Camden Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140729000009 DE Part B Supplier - Mass Immunization (Roster Biller Only) 0749406734 Practice locations: Camden, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2073810Atlantic Apothecary Camden Wellness2 South Main St, Camden, DE 19934Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.