Individual provider Active NPI

John Anthony Fratamico, RPH

  • Pharmacist
  • Portsmouth, NH
National Provider Identifier
1164644076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2912 Issued in NH
Practice address
23 Osprey Drive
Portsmouth, NH 03801-3335
Phone
(603) 319-4649
Fax
(401) 216-3352
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2912 NH Primary
Pharmacist 183500000X 18129 NC
Pharmacist 183500000X 22545 MA
Pharmacist 183500000X PR5283 ME
Pharmacist 183500000X PS 30414 FL

Addresses

Primary practice location

23 Osprey Drive
Portsmouth, NH 03801-3335

Mailing address

23 Osprey Drive
Portsmouth, NH 03801-3335
Phone (603) 319-4649

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

LicenseStateTypeSpecialty
PS 30414FLMDPharmacist
22545MAMDPharmacist
PR5283MEMDPharmacist
18129NCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164644076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OSPREY DRIVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013335",
            "telephone_number": "603-319-4649",
            "fax_number": "401-216-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OSPREY DRIVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013335",
            "telephone_number": "603-319-4649",
            "fax_number": "401-216-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATAMICO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "2912",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18129",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "22545",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5283",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 30414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, 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.

Verify at the official NPI Registry.