Price Chopper Operating Co New Hampshire Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0581P Issued in NH

Legal business name

PRICE CHOPPER OPERATING CO NEW HAMPSHIRE INC

Doing business as

Price Chopper Pharmacy

Practice address

285 Plainfield Rd
West Lebanon, NH 03784-2029

Phone

(603) 298-9680

Fax

(603) 298-9682

NPI assigned

Aug 16, 2006

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Bryant

Title

VP of Pharmacy

Phone

(518) 379-1122

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PRICE CHOPPER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NH2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Price Chopper Operating Co New Hampshire Inc

  dba Price Chopper Pharmacy

  • Community/Retail Pharmacy
  • Lebanon, NH
  • NPI 1144475773

  9335260629

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Price Chopper Operating Co New Hampshire Inc

  dba Price Chopper Pharmacy

  • Community/Retail Pharmacy
  • Lebanon, NH
  • NPI 1144475773

  O20101011000858

  Same enrollment

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

Medicare medical equipment & supply locations

Tax ID family

Price Chopper Operating Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Price Chopper Operating Co New Hampshire Inc

  dba Price Chopper Pharmacy

  • Community/Retail Pharmacy
  • Lebanon, NH
  • NPI 1144475773
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Golub Corporation

  dba Price Chopper Pharmacy

  • Community/Retail Pharmacy
  • Troy, NY
  • NPI 1033121462

  Member Of

  NPD member

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1063525020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 NOTT ST",
            "address_2": "MB#202",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081812",
            "telephone_number": "518-379-1618",
            "fax_number": "518-356-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PLAINFIELD RD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037842029",
            "telephone_number": "603-298-9680",
            "fax_number": "603-298-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE CHOPPER OPERATING CO NEW HAMPSHIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "518-379-1122"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0581P",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053515",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30700740",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRICE CHOPPER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Patenaude, RN
• Rebecca Philbrick, FNP-C
• Brandon Pierce
• Olga Plamondon
• Dorothy Anne Powell, M.A.
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• Carolyn Provost
• Paul Francis Quitadamo, OPTICIAN
• Donald Rains

• Community/Retail Pharmacy in West Lebanon, NH
• Providers in West Lebanon, NH by specialty
• Community/Retail Pharmacy in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.