NPIMap

Organization Active NPI

Kens Pharmacy Inc.

  • Pharmacy
  • Manchester, NH
National Provider Identifier
1346353976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
293 Issued in NH
Legal business name
KENS PHARMACY INC.
Practice address
36 Elm St
Manchester, NH 03101-2724
Phone
(603) 623-2813
Fax
(603) 626-7308
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ken M Gillis, R.PH.
Title
President
Phone
(603) 623-2813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 293 NH Primary

Addresses

Primary practice location

36 Elm St
Manchester, NH 03101-2724

Mailing address

36 Elm St
Manchester, NH 03101-2724
Phone (603) 623-2813

Other identifiers 2

IdentifierTypeStateIssuer
30002659MedicaidNH
3000356OtherNHNCPDP #

National Provider Directory

National Provider Directory

Locations

36 Elm St
Manchester, NH 03101
Phone (603) 623-2813

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346353976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012724",
            "telephone_number": "603-623-2813",
            "fax_number": "603-626-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012724",
            "telephone_number": "603-623-2813",
            "fax_number": "603-626-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-623-2813",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NH",
            "license": "293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002659",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3000356",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.