JAKE SCOTT LANDRY (NPI# 1548724503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548724503 |
| Entity Type | Individual |
| Full Name | JAKE SCOTT LANDRY |
| Credential | RPH |
| Practice Address |
250 Commercial St Manchester NH 03101-1142 |
| Mailing Address |
24 Sylvan St Melrose MA 02176-5237 |
| Practice Telephone | 8557455725 |
| Mailing Telephone | 7816970644 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH238320 | MA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PHCY-04503 | NH | Pharmacy Service Providers |
| Street Address |
250 COMMERCIAL ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151040 | Safety Resources Group Ems Inc | Ambulance | 250 Commercial St, Suite 1014, Manchester, NH 03101-1142 | 2005-08-12 |
| 1114469863 | Alyssa Schweitzer | Pharmacist | 250 Commercial St, Manchester, NH 03101-1142 | 2016-11-12 |
| 1578934345 | Community Integrated Services, Inc | Community/Behavioral Health | 250 Commercial St, Suite 1002, Manchester, NH 03101-1142 | 2015-10-19 |
| 1760858575 | Emily Robbins | Counselor | 250 Commercial St, #3004, Manchester, NH 03101-1142 | 2015-08-15 |
| 1821438862 | Pillpack LLC | Pharmacy | 250 Commercial St, Suite 2012, Manchester, NH 03101-1142 | 2013-07-03 |
| 1700137668 | Elizabeth Benson | Counselor | 250 Commercial St, Suite 3011-a, Manchester, NH 03101-1142 | 2012-10-01 |
| 1982970885 | Katherine I. Thonis, LLC | Clinic/Center | 250 Commercial St, Suite # 1012 B, Manchester, NH 03101-1142 | 2012-03-26 |
| 1972889541 | Zachary Delcambre | Counselor | 250 Commercial St, Manchester, NH 03101-1142 | 2011-10-27 |
| 1326358672 | Barbara Ann Blake | Speech-Language Pathologist | 250 Commercial St, Suite 3004, Manchester, NH 03101-1142 | 2010-10-19 |
| 1972642809 | Lara Irene Kroodsma | Psychologist | 250 Commercial St, Suite 3004, Manchester, NH 03101-1142 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911966 | Brittany Mary Travis | Pharmacist | 444 Center St # 117, Manchester, CT 06040-3926 | 2020-10-29 |
| 1255931788 | Hilary Tooley | Pharmacist | 725 Gold St, Manchester, NH 03103-4008 | 2020-10-26 |
| 1659913028 | Stephen Sam Penn | Pharmacist | 175 Queen City Ave Ste 1, Manchester, NH 03101-7121 | 2019-10-17 |
| 1407412901 | Eunice Boakye | Pharmacist | 210 Pine St Apt 228, Manchester, CT 06040-8411 | 2019-05-10 |
| 1528547858 | Justin Andrew Sandlin | Pharmacist | 2727 S Highway 421, Manchester, KY 40962-7556 | 2018-08-08 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1609325026 | Kaitlin Rennie | Pharmacist | 1225 Bodwell Rd Apt 30, Manchester, NH 03109-5817 | 2016-09-27 |
| 1639522048 | Mohammed Kasim Manzoor I | Pharmacist | 70 Cliffside Dr, Unit E, Manchester, CT 06042-3481 | 2016-07-20 |
| 1891140513 | Edward Braye Entsiwah | Pharmacist | 48 Benton St, Manchester, CT 06040-4304 | 2016-05-01 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
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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.