Individual provider Active NPI

Mirna Zouein

  • Pharmacy Technician
  • Derry, NH
National Provider Identifier
1154076610
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
CPHT127236 Issued in NH
Practice address
20 Crystal Ave
Derry, NH 03038-2412
Phone
(603) 437-9799
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X CPHT127236 NH Primary

Addresses

Primary practice location

20 Crystal Ave
Derry, NH 03038-2412

Mailing address

20 Crystal Ave
Derry, NH 03038-2412

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

State licenses

LicenseStateTypeSpecialty
CPHT127236NHMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Maxi Drug North Inc PastSince Feb 24, 2022 Accepting new patients
Maxi Drug North Inc PastSince Feb 24, 2022 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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1154076610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CRYSTAL AVE",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRYSTAL AVE",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382412",
            "telephone_number": "603-437-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOUEIN",
        "first_name": "MIRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NH",
            "license": "CPHT127236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.