CVS MANCHESTER NH LLC (NPI# 1457374753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457374753 |
| Entity Type | Organization |
| Organization Name | CVS MANCHESTER NH LLC |
| Other Organization Name | CVS PHARMACY #16544 |
| Practice Address |
203219 South Broadway Salem NH 03079 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 6038700083 |
| Practice Fax Number | 6038249720 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0555P | NH | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2053509 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16544 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770936916 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 309 Nashua St, Milford, NH 03055-3796 | 2016-07-22 |
| 1194150599 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 5 Hampstead Rd, Salem, NH 03079-2404 | 2013-09-05 |
| 1164783304 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 157 Loudon Rd, Concord, NH 03301-5610 | 2012-06-05 |
| 1104051226 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 1450 Greenland Rd, Greenland, NH 03840-2438 | 2009-05-19 |
| 1407005150 | Cvs Manchester Nh LLC | Pharmacy | 125 Dublin Rd, Peterborough, NH 03458-1343 | 2008-09-17 |
| 1194998674 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 4 Hall St, Concord, NH 03301-3414 | 2008-04-07 |
| 1780767046 | Cvs Manchester Nh LLC | Pharmacy | 177 Mammoth Rd, Londonderry, NH 03053-3208 | 2006-10-23 |
| 1063595320 | Cvs Manchester Nh LLC | Pharmacy | 788 S Willow St, Manchester, NH 03103-4018 | 2006-10-23 |
| 1467534602 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 11 Andrews Rd, Somersworth, NH 03878-1042 | 2006-10-19 |
| 1770505372 | Cvs Manchester Nh LLC | Durable Medical Equipment & Medical Supplies | 220 S River Rd, Bedford, NH 03110-6819 | 2006-07-24 |
| Street Address |
203219 SOUTH BROADWAY |
| City | SALEM |
| State | NH |
| Zip Code | 03079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1134277130 | F H Wolken Inc | Pharmacy | 1136 E State St, Salem, OH 44460-2230 | 2007-01-08 |
| 1003972985 | J H Lease Drug Co | Pharmacy | 229 N Ellsworth Ave, Salem, OH 44460-2803 | 2006-12-28 |
| 1700972759 | Quisenberry Pharmacies Inc. | Pharmacy | 2345 Center St Ne, Salem, OR 97301-4464 | 2006-10-05 |
| 1467467308 | Marc Glassman Inc | Pharmacy | 2487 E State St, Salem, OH 44460-2586 | 2006-07-29 |
| 1073538773 | Kroger Limited Partnership I | Pharmacy | 1477 W Main St, Salem, VA 24153-3120 | 2006-07-13 |
| 1447284211 | Kroger Limited Partnership I | Pharmacy | 1925 Electric Rd, Salem, VA 24153-7424 | 2006-07-10 |
| 1952347817 | Fred Meyer Stores Inc | Pharmacy | 3740 Market St Ne, Salem, OR 97301-1826 | 2006-06-21 |
| 1154367019 | Fred Meyer Stores Inc | Pharmacy | 3450 Commercial St Se, Salem, OR 97302-4635 | 2006-06-21 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.