Eastern States Compounding Pharmacy, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

EASTERN STATES COMPOUNDING PHARMACY, LLC

Practice address

338 Union St
Littleton, NH 03561-5616

Phone

(603) 444-0094

Fax

(603) 444-0095

NPI assigned

Dec 8, 2021

Last updated

Dec 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clanci Giddings

Title

General Manager

Phone

(603) 444-0094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1356009278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 UNION ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035615616",
            "telephone_number": "603-444-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 UNION ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035615616",
            "telephone_number": "603-444-0094",
            "fax_number": "603-444-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN STATES COMPOUNDING PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "GIDDINGS",
        "authorized_official_first_name": "CLANCI",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "603-444-0094"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Littleton, NH
• Providers in Littleton, NH by specialty
• Compounding Pharmacy in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.