OrganizationActive
Walgreens 11079
NPI 1023455383 · Community Health Clinic/Center · Delmar, DE
Provider details
- NPI number
- 1023455383
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Walgreen Co./Ill.
- Organization subpart
- Yes
- Authorized official
- Jon Reitz, Market Pharmacy Director(302) 366-0335
- License
- 380101061159913 (DE)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
38627 Benro Dr
Delmar, DE 19940-3572
Phone: (302) 907-1010
Fax: (302) 907-1006
Street-level locationGet directions
Mailing address
200 Wilmot Rd
Deerfield, IL 60015-4620
Registry dates
- Enumerated
- 2013-05-28
- Last updated
- 2013-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.