Active NPI
Nadia Beaurivage, PHARMD, RPH
- Pharmacist
- Tilton, NH
National Provider Identifier
1174805840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3646
- Practice address
- 4 Sanborn Rd
Tilton, NH 03276-5725 - Phone
- (603) 286-1932
- Fax
- (603) 286-1938
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3646 | NH | Primary |
Addresses
Primary practice location
4 Sanborn Rd
Tilton, NH 03276-5725
Mailing address
4 Sanborn Rd
Tilton, NH 03276-5725
Phone (603) 286-1932
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3646 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1174805840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SANBORN RD",
"city": "TILTON",
"state": "NH",
"postal_code": "032765725",
"telephone_number": "603-286-1932",
"fax_number": "603-286-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SANBORN RD",
"city": "TILTON",
"state": "NH",
"postal_code": "032765725",
"telephone_number": "603-286-1932",
"fax_number": "603-286-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAURIVAGE",
"first_name": "NADIA",
"name_prefix": "Mrs.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tilton, NH
- Laurel L Baerman, PHARMD
- Nicole Bartlett
- Susan Bayer, MD
- Rebecca Beaudet, BCBA
- Michele Beauregard, LMT
- Belknap Occupational Health LLC (Merrimack Valley Occupational Health and Coppola Physical Therapy)
- Esther Bertolami
- Bio-Medical Applications of New Hampshire, Inc. (Fresenius Kidney Care Lakes Region)
- BJS Wholesale Club Inc
- David A Bogacz, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.