Gnoleba G Digbeu
Individual provider Active NPI Pharmacist · Concord, NH
NPI 1346909454 · NPPES record last updated Dec 16, 2021
Key facts
- NPI
- 1346909454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PHCY-01272 (NH)
- Practice address
- 92 South St
Concord, NH 03301-2826 - Phone
- (508) 488-8354
- NPI assigned
- Dec 16, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHCY-01272 | NH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHCY-01272 | NH | Yes |
Addresses
Primary practice location
92 South St
Concord, NH 03301-2826
Mailing address
243 Pleasant St Unit 42
Concord, NH 03301-2538
Phone (508) 488-8354
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.