NPI 1760843734 · live from the CMS NPI Registry
Express Discount Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Wilmington, DE. National Provider Identifier 1760843734, active.
NPI record
| NPI | 1760843734 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4528 Kirkwood Hwy Ste A, Wilmington, DE 19808 |
| Practice phone | 302-575-9891 |
| Mailing address | 4528 Kirkwood Hwy, Ste A, Wilmington, DE 19808 |
| Enumerated | March 17, 2016 |
| Last updated | March 24, 2022 |
| Authorized official | Pavithran Gujja, Pharmacist In-Charge/Member |
| Other names | Express Discount Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | A3-0001000 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.