MLJC Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MLJC INC

Doing business as

Fisherville Pharmacy

Practice address

219 Fisherville Rd
Unit C
Penacook, NH 03303

Phone

(603) 565-0210

Fax

(603) 565-0214

NPI assigned

Jul 3, 2009

Organization subpart

No

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

Authorized official

Name

Christina Rasla

Title

President

Phone

(781) 803-0976

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Fisherville Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Tax ID family

Fisherville Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MLJC Inc

  • Community/Retail Pharmacy
  • Penacook, NH
  • NPI 1821896861
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Alexandria Duggan, PHARMD

  • Pharmacy Technician
  • Penacook, NH
  • NPI 1841058179
  NPD (past)
• Virginia Field, RPH

  • Pharmacist
  • Penacook, NH
  • NPI 1881100642
  NPD (past)
• Stephen Kavadias, R.PH.

  • Pharmacist
  • Penacook, NH
  • NPI 1760724462
  NPD (past)
• Uliana Tabaka

  • Pharmacist
  • Concord, NH
  • NPI 1952866881
  NPD (past)

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1184853723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 FISHERVILLE RD",
            "address_2": "UNIT C",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "03303",
            "telephone_number": "603-565-0210",
            "fax_number": "603-565-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 FISHERVILLE RD",
            "address_2": "UNIT C",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "03303",
            "telephone_number": "603-565-0210",
            "fax_number": "603-565-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLJC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "RASLA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-803-0976"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0761",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120912",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30707542",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fisherville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael I Kramer, DMD
• Francis Henry La Branche Jr, DDS
• Tad P Lanagan, DO
• Virginia Luce, MS
• Merrimack Valley School District
• MLJC Inc
• MLJC Inc
• Jaime Murphy, RDH
• James Nicholls, PHD
• Optivan of Newhampshire Inc

• Community/Retail Pharmacy in Penacook, NH
• Providers in Penacook, NH by specialty
• Community/Retail Pharmacy in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.