Sandy Ann Bouchard, PHARMD
Individual provider Active NPI Pharmacist · Rindge, NH
NPI 1013015148 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013015148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3414 (NH)
- Practice address
- 750 US Route 202
Rindge, NH 03461 - Phone
- (603) 899-6965
- Fax
- (603) 899-6972
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26073 | MA | MD | Pharmacist |
| 3414 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3414 | NH | Yes |
| Pharmacist | 183500000X | 26073 | MA |
Addresses
Primary practice location
750 US Route 202
Rindge, NH 03461
Mailing address
57 Fifth St
Gardner, MA 01440-2815
Phone (978) 630-4589
Other names
- Sandy Gamache
Other providers in Rindge, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.