Individual provider Active NPI

Joseph Doucette

  • Pharmacist
  • Derry, NH
National Provider Identifier
1003530593
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
01234 Issued in NH
Practice address
48 E Broadway
Derry, NH 03038-2422
Phone
(603) 434-2600
NPI assigned
Sep 28, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01234NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Manchester NH, L.L.C. CurrentSince Jun 30, 2024 Accepting new patients

Locations

48 E Broadway
Derry, NH 03038
Phone (603) 434-2600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 01234 NH Primary

Addresses

NPPES NPI Registry

Primary practice location

48 E Broadway
Derry, NH 03038-2422

Mailing address

144 W Webster St Apt 1D
Manchester, NH 03104-2937
Phone (603) 661-0078

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2022.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1003530593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W WEBSTER ST APT 1D",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042937",
            "telephone_number": "603-661-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E BROADWAY",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382422",
            "telephone_number": "603-434-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "01234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.