1467493312 NPI number — DELAWARE PSYCHIATRIC CENTER PHARMACY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467493312 NPI number — DELAWARE PSYCHIATRIC CENTER PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DELAWARE PSYCHIATRIC CENTER PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467493312
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1901 N DUPONT HWY
Provider Second Line Business Mailing Address:
SPRINGER BLDG ROOM 208
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19720-1100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-255-2793
Provider Business Mailing Address Fax Number:
302-255-4420

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1901 N DUPONT HWY
Provider Second Line Business Practice Location Address:
SPRINGER BUILDING ROOM 208
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19720-1100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-255-2793
Provider Business Practice Location Address Fax Number:
302-255-4420
Provider Enumeration Date:
06/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HUCKSHORN
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
302-255-9417

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336I0012X , with the licence number: A60000249 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2003069 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000034053 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com