DELRAY SHORES PHARMACY INC (NPI# 1912086687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912086687 |
| Entity Type | Organization |
| Organization Name | DELRAY SHORES PHARMACY INC |
| Other Organization Name | DELRAY SHORES PHARMACY |
| Practice Address |
124 Ne 5th Ave Delray Beach FL 33483 |
| Mailing Address |
124 Ne 5th Ave Delray Beach FL 33483-5429 |
| Practice Telephone | 5612722124 |
| Practice Fax Number | 5612722830 |
| Mailing Telephone | 5612722124 |
| Mailing Fax Number | 5612722830 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | THOMAS DILDINE (PRESIDENT, PIC) |
| Authorized Official Telephone | 5612722124 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH6174 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2009655 | 01 | |
| FL | 103438300 | 05 |
| Other Name | Type Code |
|---|---|
| DELRAY SHORES PHARMACY | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 N Congress Ave, Ste 407, Delray Beach, FL 334454703 | 5612722124 | 5612722830 |
| Street Address |
124 NE 5TH AVE |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099176 | Thomas Lawson Dildine Jr. | Pharmacist | 124 Ne 5th Ave, Delray Beach, FL 33483 | 2010-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1790270254 | Erika Elizabeth Gottlieb | Physician Assistant | 2645 N Federal Hwy Ste 100, Delray Beach, FL 33483 | 2018-06-27 |
| 1023525474 | Amber Diamond Miller | Behavior Technician | 1730 South Federal Highway, 268, Delray Beach, FL 33483 | 2018-01-08 |
| 1205343027 | Alisha Wendy Singh | Counselor | 500 Ne Federal Highway, Delray Beach, FL 33483 | 2018-01-02 |
| 1932620978 | Allison Larue | Optometrist | 954 Kokomo Key Lane, Delray Beach, FL 33483 | 2017-06-29 |
| 1164804977 | Body Mind Spirit Therapy Center | Marriage & Family Therapist | 1045 East Atlantic Avenue, Suite 205, Delray Beach, FL 33483 | 2015-06-29 |
| 1699174623 | Valentina Baez | Dentist | 160 Se 6th Ave # B1, Delray Beach, FL 33483 | 2014-08-14 |
| 1558632117 | Patricia L Thomas Shutt Psyd LLC | Psychologist | 120 Se 4th Avenue, Delray Beach, FL 33483 | 2012-01-13 |
| 1003149352 | Real Solutions Home Health Care, Inc | Home Health | 500 Gulfstream Blvd., Suite #103-a, Delray Beach, FL 33483 | 2009-09-17 |
| 1184859886 | Joanne F. Smith | Speech-Language Pathologist | 55 Tropic Isle Dr., #36, Delray Beach, FL 33483 | 2009-05-26 |
| Find all providers in zip 33483 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296877 | W. Atlantic Discount Pharmacy LLC | Pharmacy | 15071 S State Road 7 Ste 150, Delray Beach, FL 33446-4112 | 2019-10-17 |
| 1013577253 | Delray Pharmacy | Pharmacy | 5130 Linton Blvd Ste F6, Delray Beach, FL 33484-6597 | 2019-06-19 |
| 1902352958 | Gordium Rx, LLC | Pharmacy | 4723 W Atlantic Ave Ste 2, Delray Beach, FL 33445-3865 | 2016-08-30 |
| 1356719074 | All Heart Pharmacy Inc | Pharmacy | 911 Se 6th Ave, Ste 105, Delray Beach, FL 33483-5190 | 2015-09-11 |
| 1952779282 | Mathew Management Iv, Inc. | Pharmacy | 600 N Congress Ave Ste 130, Delray Beach, FL 33445-3433 | 2015-09-03 |
| 1285045302 | Primrose Pharmacy LLC | Pharmacy | 4733 West Atlantic Avenue, Suite C 5, Delray Beach, FL 33445 | 2014-05-12 |
| 1609057413 | Walgreen Co. | Pharmacy | 4999 W Atlantic Ave, Delray Beach, FL 33445-3850 | 2007-11-20 |
| 1720182603 | Holiday Cvs LLC | Pharmacy | 1690 S Federal Hwy, Delray Beach, FL 33483-5030 | 2006-09-12 |
| 1912001827 | Holiday Cvs LLC | Pharmacy | 6464 W Atlantic Ave, Delray Beach, FL 33484-3555 | 2006-09-12 |
| 1659487965 | South County Mental Health Center | Pharmacy | 16158 S Military Trl, Delray Beach, FL 33484-6502 | 2006-08-21 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33483 |
Please comment or provide details below to improve the information on DELRAY SHORES PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.