Active NPI
Kenneth Arthur Isaacs, BS PHARMACY
- Pharmacist
- Dover, NH
National Provider Identifier
1144344607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R525
- Practice address
- 118 Central Ave
Dover, NH 03820-4028 - Phone
- (603) 742-8550
- Fax
- (603) 742-8180
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | R525 | NH | Primary |
| Pharmacist | 183500000X | 14954 | MA |
Addresses
Primary practice location
118 Central Ave
Dover, NH 03820-4028
Mailing address
PO Box 117
4 Riverwood Rd.
Kingston, NH 03848-0117
Phone (603) 642-8550
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14954 | MA | MD | Pharmacist |
| R525 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144344607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117",
"address_2": "4 RIVERWOOD RD.",
"city": "KINGSTON",
"state": "NH",
"postal_code": "038480117",
"telephone_number": "603-642-8550",
"fax_number": "603-742-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038204028",
"telephone_number": "603-742-8550",
"fax_number": "603-742-8180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "KENNETH",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "BS PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R525",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "14954",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, 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.