Individual provider Active NPI

Chris Jonathan Kottig, PHARMD, R.PH.

  • Pharmacist
  • Center Conway, NH
National Provider Identifier
1356887731
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4279 Issued in NH
Practice address
1150 Eastman Rd
Center Conway, NH 03813-4221
Phone
(603) 356-5471
NPI assigned
Jan 10, 2017
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4279 NH Primary

Addresses

Primary practice location

1150 Eastman Rd
Center Conway, NH 03813-4221

Mailing address

1150 Eastman Rd
Center Conway, NH 03813-4221
Phone (603) 356-5471

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, Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1356887731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 EASTMAN RD",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134221",
            "telephone_number": "603-356-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 EASTMAN RD",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134221",
            "telephone_number": "603-356-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTIG",
        "first_name": "CHRIS",
        "middle_name": "JONATHAN",
        "credential": "PHARMD, R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "4279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.