DELRAY SHORES PHARMACY
NPI 1912086687
Pharmacy - Community/Retail Pharmacy in Delray Beach, FL

Active since November 03, 2006CLIA 10D2193396 · Waiver
124 NE 5TH AVE, DELRAY BEACH, FL 33483(561) 272-2124(561) 272-2830 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2020, Jun 25, 2018 (2 updates tracked since 2018).

About Delray Shores Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELRAY SHORES PHARMACY (NPI 1912086687) is a healthcare organization registered as a community/retail pharmacy in Delray Beach, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Thomas Dildine, President, Pic, as its authorized official.

NPPES Registry Identity

NPI1912086687
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDELRAY SHORES PHARMACY INC
Location Address124 NE 5TH AVEDelray Beach, FL 33483
Mailing Address124 Ne 5th AveDelray Beach, FL 33483-5429 · (561) 272-2124 · Fax (561) 272-2830
Fax(561) 272-2830
Organization SubpartNo
Authorized OfficialThomas DildinePresident, Pic · (561) 272-2124
Enumeration DateNovember 3, 2006
Last NPPES UpdateNovember 24, 20202 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
NPI 1912086687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PH6174
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
124 NE 5TH AVE, Delray Beach, FL 33483

Other Names 1

Doing Business AsDelray Shores Pharmacy

Other Identifiers 2

Other2009655Pk
Medicaid103438300FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2193396

Delray Shores Pharmacy Inc · Delray Beach, FL
Active · expires Sep 20, 2026
CLIA Number10D2193396
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorThomas L. Dildine
Laboratory Phone(561) 272-2121
Laboratory LocationDelray Shores Pharmacy Inc124 NE 5th Avenue, Delray Beach, FL 33483
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
175 services174 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
171 services171 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
124 NE 5TH AVE
DELRAY BEACH, FL 33483

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delray Shores Pharmacy Inc's NPI number?

The NPI number for Delray Shores Pharmacy Inc is 1912086687. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Delray Shores Pharmacy.

Where is Delray Shores Pharmacy Inc located?

Delray Shores Pharmacy Inc is located at 124 NE 5th Ave, Delray Beach, FL 33483. The listed phone number is (561) 272-2124.

What is Delray Shores Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Delray Shores Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2193396) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Delray Shores Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Delray Shores Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Delray Shores Pharmacy Inc was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.