Active NPI
Zhi Shan Ivy Song
- Pharmacist
- Claremont, NH
National Provider Identifier
1033637822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4186
- Practice address
- 1 Wall St
Claremont, NH 03743-2751 - Phone
- (603) 542-7742
- NPI assigned
- Sep 1, 2017
- Last updated
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4186 | NH | Primary |
Addresses
Primary practice location
1 Wall St
Claremont, NH 03743-2751
Mailing address
1 Wall St
Claremont, NH 03743-2751
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4186 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Manchester NH LLC | Past | Accepting new patients | |
| CVS Manchester NH L.L.C. | Past | Accepting new patients | |
| Minuteclinic Diagnostic of New Hampshire, L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Concord, NH
- NPI 1477894673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1033637822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WALL ST",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "037432751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WALL ST",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "037432751",
"telephone_number": "603-542-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "ZHI SHAN",
"middle_name": "IVY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-01",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "4186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.