Active NPI
Northeast Pharmacy Services LLC
- Long Term Care Pharmacy
- Concord, NH
National Provider Identifier
1144321357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0655
- Legal business name
- NORTHEAST PHARMACY SERVICES LLC
- Practice address
- 1 Granite PL
Suite 200 North
Concord, NH 03301-3258 - Phone
- (603) 224-9591
- Fax
- (603) 225-6579
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles John Fanaras, RPH
- Title
- Ceo
- Phone
- (603) 223-3111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 0655 | NH | Primary |
Addresses
Primary practice location
1 Granite PL
Suite 200 North
Concord, NH 03301-3258
Mailing address
1 Granite PL
Suite 200 North
Concord, NH 03301-3258
Phone (603) 224-9591
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3007095 | Other | NH | NABP |
| 3077603 | Medicaid | NH | |
| 0655P | Other | NH | NEW HAMPSHIRE BOARD OF PHARMACY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1 Granite Pl
Ste N200
Concord, NH 03301
Phone (603) 226-8686
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Concord, NH
- NPI 1013477694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1144321357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GRANITE PL",
"address_2": "SUITE 200 NORTH",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013258",
"telephone_number": "603-224-9591",
"fax_number": "603-225-6579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GRANITE PL",
"address_2": "SUITE 200 NORTH",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013258",
"telephone_number": "603-224-9591",
"fax_number": "603-225-6579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST PHARMACY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "FANARAS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "603-223-3111",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NH",
"license": "0655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3007095",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077603",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE BOARD OF PHARMACY",
"identifier": "0655P",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.