OrganizationActive
Tidalhealth Nanticoke, Inc
NPI 1114629227 · Community/Retail Pharmacy · Seaford, DE
Provider details
- NPI number
- 1114629227
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Johnson, Director of Ambulatory Pharmacy Svc(410) 543-7745
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
801 Middleford Rd
Seaford, DE 19973-3636
Phone: (302) 297-2420
Fax: (302) 297-2421
Street-level locationGet directions
Mailing address
801 Middleford Rd
Seaford, DE 19973-3636
Other names (DBA / former)
- Doing business as
- Tidalhealth Community Pharmacy
- Doing business as
- Tidalhealth Home Scripts Nanticoke
Registry dates
- Enumerated
- 2023-03-21
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.