NPIMap

Individual provider Active NPI

Michael Sarnosky

  • Pharmacist
  • Peterborough, NH
National Provider Identifier
1063826485
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
R1003 Issued in NH
Practice address
19 Wilton Rd
Peterborough, NH 03458-1799
Phone
(603) 924-3632
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R1003 NH Primary
Pharmacist 183500000X 2701 RI

Addresses

Primary practice location

19 Wilton Rd
Peterborough, NH 03458-1799

Mailing address

19 Wilton Rd
Peterborough, NH 03458-1799
Phone (603) 924-3632

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

LicenseStateTypeSpecialty
R1003NHMDPharmacist
2701RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxi Drug North Inc Past Accepting new patients
Maxi Drug North Inc 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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1063826485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WILTON RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581799",
            "telephone_number": "603-924-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WILTON RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581799",
            "telephone_number": "603-924-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNOSKY",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R1003",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "2701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.