Individual provider Active NPI

David Colin Lacasse

  • Pharmacist
  • Derry, NH
National Provider Identifier
1346688777
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2364 Issued in NH
Practice address
52 Rockingham Rd
Derry, NH 03038-4126
Phone
(603) 432-2505
Fax
(603) 432-8470
NPI assigned
Jun 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18884 MA
Pharmacist 183500000X 2364 NH Primary

Addresses

Primary practice location

52 Rockingham Rd
Derry, NH 03038-4126

Mailing address

15 Partridge LN
Londonderry, NH 03053-2258
Phone (603) 425-2042

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

State licenses

LicenseStateTypeSpecialty
18884MAMDPharmacist
2364NHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1346688777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARTRIDGE LN",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532258",
            "telephone_number": "603-425-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 ROCKINGHAM RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030384126",
            "telephone_number": "603-432-2505",
            "fax_number": "603-432-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACASSE",
        "first_name": "DAVID",
        "middle_name": "COLIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "18884",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "2364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.