Maxi Drug North Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0452P Issued in NH

Legal business name

MAXI DRUG NORTH INC

Doing business as

Rite Aid Pharmacy 10284

Practice address

348 Winchester Street
Keene, NH 03431-3936

Phone

(603) 352-6969

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• RITE AID PHARMACY 10284 Doing business as

Locations

Practitioners 3

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

• Robert Keith Blackwood Jr., R.PH.

  • Pharmacist
  • Keene, NH
  • NPI 1992024418
  NPD (past)
• Kristie Lynn Orkins, RPH

  • Pharmacist
  • Keene, NH
  • NPI 1467766535
  NPD (past)
• Edward Francis Reardon, PHARMACIST

  • Pharmacist
  • Keene, NH
  • NPI 1548478787
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1083713358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 WINCHESTER STREET",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313936",
            "telephone_number": "603-352-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXI DRUG NORTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0452P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021715",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30701965",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3005445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 10284",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Hitchcock Memorial Hospital (Cheshire Medical Center Pharmacy)
• Amjad Massoud, MD
• Katrina M Masure, APRN
• Claudia E Matta, PA
• Kayla Matuszewski, DPT
• Charlotte Marion Maxwell, CNM
• Susan Ann Maydwell, PA-C
• Paul David Mayer, MD
• Donald Mark Mazanowski, M.D.
• Steven J Mazejka

• Community/Retail Pharmacy in Keene, NH
• Providers in Keene, 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 Jun 19, 2013; 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.