NPIMap

Organization Active NPI

Delaware CVS Pharmacy, L.L.C.

Doing business as CVS Pharmacy # 17912

  • Pharmacy
  • Middletown, DE
National Provider Identifier
1972340800
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DELAWARE CVS PHARMACY, L.L.C.
Doing business as
CVS Pharmacy # 17912
Practice address
361 Middletown Warwick Road
Middletown, DE 19709
Phone
(302) 828-9045
NPI assigned
Jul 9, 2024
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Susan F Colbert
Title
Sr Director
Phone
(401) 765-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

361 Middletown Warwick Road
Middletown, DE 19709

Mailing address

1 CVS Dr # 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500

Other names 1

  • CVS PHARMACY # 17912 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100729000009 DE Part B Supplier - Mass Immunization (Roster Biller Only) 7012040918 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dover, DE; Wilmington, DE; Selbyville, DE; Rehoboth Beach, DE; Ocean View, DE; Newark, DE; New Castle, DE; Milford, DE…
O20250403002744 DE DME Supplier - Pharmacy 7012040918 Practice locations: Middletown, DE

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Delaware CVS Pharmacy, L.L.C.361 Middletown Warwick Rd, Middletown, DE 19709-9529(302) 828-9045 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Ent… Does not accept assignmentParticipating since Dec 24, 2024

National Provider Directory

National Provider Directory
Tax ID family
Delaware CVS Phmy LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 33)

1545 Pulaski Hwy
#3042
Bear, DE 19701
Phone (302) 832-8701

39820 Hickman Plaza Rd
#4710
Bethany Beach, DE 19930
Phone (302) 539-3548

702 Naamans Rd
#10238
Claymont, DE 19703
Phone (302) 798-0249

11 N DuPont Hwy
#1911
Dover, DE 19901
Phone (302) 672-7010

148 John Hunn Brown Rd
#16655
Dover, DE 19901
Phone (302) 741-0466

988 Forest St
Dover, DE 19904
Phone (302) 744-9222

988 Forest St
#2069
Dover, DE 19904
Phone (302) 744-9222

17229 N Village Main Blvd
Lewes, DE 19958
Phone (302) 644-1558

17229 N Village Main Blvd
#10296
Lewes, DE 19958
Phone (302) 644-1558

361 Middletown Warwick Rd
Middletown, DE 19709
Phone (302) 828-9045

674 Middletown Odessa Rd
Middletown, DE 19709
Phone (302) 378-2287

674 Middletown Odessa Rd
#10375
Middletown, DE 19709
Phone (302) 378-2287

601 N DuPont Blvd
#10222
Milford, DE 19963
Phone (302) 424-8401

366 E Chestnut Hill Rd
Newark, DE 19713
Phone (302) 368-3246

366 E Chestnut Hill Rd
#10103
Newark, DE 19713
Phone (302) 368-3246

45 E Main St
Newark, DE 19711
Phone (302) 533-3537

604 Corner Ketch Rd
Newark, DE 19711
Phone (302) 235-5509

604 Corner Ketch Rd
#10376
Newark, DE 19711
Phone (302) 235-5509

800 Christiana Mall
#17621
Newark, DE 19702
Phone (302) 669-4010

54 Atlantic Ave
Ocean View, DE 19970
Phone (302) 537-4670

54 Atlantic Ave
#3902
Ocean View, DE 19970
Phone (302) 537-4670

19869 Sea Blossom Blvd
Rehoboth Beach, DE 19971
Phone (302) 226-7791

19869 Sea Blossom Blvd
#3738
Rehoboth Beach, DE 19971
Phone (302) 226-7791

36252 Lighthouse Rd
#3231
Selbyville, DE 19975
Phone (302) 436-6411

1005 Delaware Ave
Wilmington, DE 19806
Phone (203) 574-9836

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1972340800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR # 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 MIDDLETOWN WARWICK ROAD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-828-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY # 17912",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS PHARMACY # 17912",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.