Active NPI
Jeffrey M Coughlin, RPH
- Pharmacist
- Manchester, NH
National Provider Identifier
1104954981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2882
- Practice address
- 1631 Elm St
Manchester, NH 03101-1207 - Phone
- (603) 623-4393
- NPI assigned
- Mar 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2882 | NH | Primary |
Addresses
Primary practice location
1631 Elm St
Manchester, NH 03101-1207
Mailing address
65 Naticook Ave
Litchfield, NH 03052-8036
Phone (603) 424-6851
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2882 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Retail Pharmacy
- Manchester, NH
- NPI 1487763892
-
- Community/Retail Pharmacy
- Kingston, NH
- NPI 1912016312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104954981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 NATICOOK AVE",
"city": "LITCHFIELD",
"state": "NH",
"postal_code": "030528036",
"telephone_number": "603-424-6851"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUGHLIN",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "2882",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.