Healthcare Provider Details

I. General information

NPI: 1215232152
Provider Name (Legal Business Name): RODNEY VILLAGE PHARMACY,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2011
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1664 S. GOVERNORS AVE
DOVER DE
19904
US

IV. Provider business mailing address

1664 S. GOVERNORS AVE
DOVER DE
19904
US

V. Phone/Fax

Practice location:
  • Phone: 302-747-7533
  • Fax: 302-747-7571
Mailing address:
  • Phone: 302-747-7533
  • Fax: 302-747-7571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberA3-0000916
License Number StateDE

VIII. Authorized Official

Name: DR. ISRAEL O. ADENAIKE
Title or Position: PHARMACIST
Credential:
Phone: 302-747-7533