Active NPI
Jeremiah Manning, PHARM.D
- Pharmacist
- Northwood, NH
National Provider Identifier
1275139172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R2774
- Practice address
- 174 1St NH Tpke
Northwood, NH 03261-3400 - Phone
- (603) 942-8891
- NPI assigned
- Dec 7, 2020
- 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 | PR27888 | ME | |
| Pharmacist | 183500000X | R2774 | NH | Primary |
Addresses
Primary practice location
174 1St NH Tpke
Northwood, NH 03261-3400
Mailing address
23 Pender Rd
Northwood, NH 03261-3350
Phone (508) 330-6909
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 |
|---|---|---|---|
| PR27888 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1275139172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 PENDER RD",
"city": "NORTHWOOD",
"state": "NH",
"postal_code": "032613350",
"telephone_number": "508-330-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 1ST NH TPKE",
"city": "NORTHWOOD",
"state": "NH",
"postal_code": "032613400",
"telephone_number": "603-942-8891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JEREMIAH",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR27888",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NH",
"license": "R2774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northwood, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.