Active NPI
Renan Moretta
- Pharmacist
- Merrimack, NH
National Provider Identifier
1073922738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- NH3040
- Practice address
- 416 Daniel Webster Hwy
Merrimack, NH 03054-4125 - Phone
- (603) 424-4833
- Fax
- (603) 424-4578
- NPI assigned
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | NH3040 | NH | Primary |
| Pharmacist | 183500000X | PH23465 | MA |
Addresses
Primary practice location
416 Daniel Webster Hwy
Merrimack, NH 03054-4125
Mailing address
416 Daniel Webster Hwy
Merrimack, NH 03054-4125
Phone (603) 424-4833
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 |
|---|---|---|---|
| PH23465 | MA | MD | Pharmacist |
| NH3040 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1073922738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 DANIEL WEBSTER HWY",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544125",
"telephone_number": "603-424-4833",
"fax_number": "603-424-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 DANIEL WEBSTER HWY",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544125",
"telephone_number": "603-424-4833",
"fax_number": "603-424-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORETTA",
"first_name": "RENAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "NH3040",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH23465",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.