Individual provider Active NPI

Michael Fecteau, R.PH.

  • Pharmacist
  • Manchester, NH
National Provider Identifier
1093053209
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2201 Issued in NH
Practice address
1631 Elm St
Manchester, NH 03101-1207
Phone
(603) 623-4393
Fax
(603) 628-6352
NPI assigned
Jan 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2201 NH Primary

Addresses

Primary practice location

1631 Elm St
Manchester, NH 03101-1207

Mailing address

401 River Rd
Manchester, NH 03104-1901
Phone (603) 624-6256

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of New Hampshire Inc Past Accepting new patients
Rite Aid of New Hampshire 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": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1093053209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031041901",
            "telephone_number": "603-624-6256",
            "fax_number": "603-624-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011207",
            "telephone_number": "603-623-4393",
            "fax_number": "603-628-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECTEAU",
        "first_name": "MICHAEL",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "2201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.