First Colony Corp – Community/Retail Pharmacy

Key facts

NPI: 1043380470
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 0313 (NH)
Legal business name: FIRST COLONY CORP
Practice address: 82 Newport Rd
New London, NH 03257-5414
Phone: (603) 526-2233
Fax: (603) 526-2235
NPI assigned: Nov 9, 2006
Organization subpart: No

Authorized official

Name: Glenn Perreault
Title: VP
Phone: (603) 526-2233

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Glenn L Perreault, RPH Pharmacist · New London, NH · NPI 1295357218

NPD
Casey Rankins, DO Hematology (Pathology) Physician · Manchester, NH · NPI 1477084663

NPD
Kelcey Wilson, PHARMD Pharmacist · Lebanon, NH · NPI 1396627667

NPD
Laura Ellen Purdy, MD Family Medicine Physician · Calabasas, CA · NPI 1093058463

NPD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
First Colony Corp 82 Newport Rd, New London, NH 03257-5414 · (603) 526-2233	Epoetin\|Immunosuppressive Drugs\|Infusion Drugs\|Nebulizer Drugs\|Oral Anticancer Drugs\|Oral Antiemetic Drugs\|Commodes, Urinals, Bedpans\|Blood Glucose Monitors/Supplies (Non-Mail Order)\|Heat & Cold Applications\|Canes and/or Crutches\|Walkers\|Ostomy Supplies\|Urological Supplies\|Surgical Dressings	Does not accept assignment Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in NH

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100930012662	NH	DME Supplier - Pharmacy DME Supplier - Medical Supply Company With Registered Pharmacist	0749307221	Practice locations: New London, NH
O20160425000888	NH	Part B Supplier - Mass Immunization (Roster Biller Only)	0749307221	Practice locations: New London, NH

National Provider Directory

Locations

247 Newport Rd
New London, NH 03257
Phone (603) 526-2233

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	0313	NH	Yes

Addresses

Primary practice location

82 Newport Rd
New London, NH 03257-5414

Mailing address

PO Box 10
New London, NH 03257-0010
Phone (603) 526-2233

Other identifiers

Identifier	Type	State	Issuer
3001043	Other	NH	NAPB
3094084	Medicaid	NH

Other names

COLONIAL PHARMACY Doing business as

Other providers in New London, NH

All providers in New London, NH · Community/Retail Pharmacy in New Hampshire

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.