MEDICARE: DELS DISCOUNT PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	04322	NC
2	3336C0003X	Community/Retail Pharmacy
3	3336I0012X	Institutional Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3421233	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790882637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELS DISCOUNT PHARMACY

Provider Business Mailing Address
First Line	:	3060 RICHLANDS HWY
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-2972
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3060 RICHLANDS HWY
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-2972
Country	:	US
Telephone Number	:	910-347-2888
Fax Number	:

Authorized Official
Title or Position	:	MGR/PHARM
Name	:	RONALD DELCASTILHO
Credential	:	RPH
Telephone Number	:	910-347-2888

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/11/2025

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Directions to “DELS DISCOUNT PHARMACY ” Practice Location

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