Active NPI
Kevin Maillet, PHARMD
- Pharmacist
- Seabrook, NH
National Provider Identifier
1194175430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3948
- Practice address
- 628 Lafayette Rd
Seabrook, NH 03874-4213 - Phone
- (603) 474-9511
- Fax
- (603) 474-9604
- NPI assigned
- Jun 17, 2016
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH235720 | MA | |
| Pharmacist | 183500000X | 3948 | NH | Primary |
Addresses
Primary practice location
628 Lafayette Rd
Seabrook, NH 03874-4213
Mailing address
628 Lafayette Rd
Seabrook, NH 03874-4213
Phone (603) 474-9511
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH235720 | MA | MD | Pharmacist |
| 3948 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194175430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 LAFAYETTE RD",
"city": "SEABROOK",
"state": "NH",
"postal_code": "038744213",
"telephone_number": "603-474-9511",
"fax_number": "603-474-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 LAFAYETTE RD",
"city": "SEABROOK",
"state": "NH",
"postal_code": "038744213",
"telephone_number": "603-474-9511",
"fax_number": "603-474-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAILLET",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH235720",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seabrook, NH
- Kathryn Lapkowicz
- Chang Soo Daniel Lee, O.D.
- Lifetime Dental Professionals of New Hampshire, P.C. (Family Dental of Seabrook)
- Alyssia Lin, FNP-BC
- Tatiana Lucente Stabile
- John J Maloney Jr., DDS
- Alison Mollica
- Carolyn Anne Nadworny, BS RPH
- Northstar Psychiatric Health PLLC
- Optometric Providers of New Hampshire, PLLC (Visionworks)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.