Organization Active NPI

SJ Physician Services, Inc Dba Nashua Medical Group Pharmacy

  • Clinic Pharmacy
  • Nashua, NH
National Provider Identifier
1174621189
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
06871 Issued in NH
Legal business name
SJ PHYSICIAN SERVICES, INC DBA NASHUA MEDICAL GROUP PHARMACY
Practice address
173 Daniel Webster Hwy
Nashua, NH 03060-5224
Phone
(603) 891-4439
Fax
(603) 891-4410
NPI assigned
Sep 21, 2006
Organization subpart
Yes
Parent organization
SJ PHYSICIAN SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Richard J Plamondon
Title
Chief Financial Officer
Phone
(603) 598-3352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 06871 NH Primary

Addresses

Primary practice location

173 Daniel Webster Hwy
Nashua, NH 03060-5224

Mailing address

PO Box 95000 LBX 7655
Philadelphia, PA 19195-0001
Phone (207) 777-8202

National Provider Directory

National Provider Directory
Part of
SJ Physician Services Inc

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1174621189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LBX 7655",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "207-777-8202",
            "fax_number": "207-783-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 DANIEL WEBSTER HWY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605224",
            "telephone_number": "603-891-4439",
            "fax_number": "603-891-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ PHYSICIAN SERVICES, INC DBA NASHUA MEDICAL GROUP PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SJ PHYSICIAN SERVICES, INC",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "PLAMONDON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "603-598-3352"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NH",
            "license": "06871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.