Individual provider Active NPI

Erich Mussgnug, PHARMD

  • Pharmacist
  • West Lebanon, NH
National Provider Identifier
1043660244
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3783 Issued in NH
Practice address
250 Plainfield Rd
West Lebanon, NH 03784-2000
Phone
(603) 298-8350
Fax
(603) 298-0547
NPI assigned
Jun 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3783 NH Primary

Addresses

Primary practice location

250 Plainfield Rd
West Lebanon, NH 03784-2000

Mailing address

250 Plainfield Rd
West Lebanon, NH 03784-2000
Phone (603) 298-8350

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
3783NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Hampshire, L.L.C. PastSince Sep 13, 2016 Accepting new patients
CVS Manchester NH L.L.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1043660244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLAINFIELD RD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037842000",
            "telephone_number": "603-298-8350",
            "fax_number": "603-298-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLAINFIELD RD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037842000",
            "telephone_number": "603-298-8350",
            "fax_number": "603-298-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSGNUG",
        "first_name": "ERICH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.