Individual provider Active NPI

Cherie Mraz, RPH

  • Pharmacist
  • Hanover, NH
National Provider Identifier
1376160606
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
R2293 Issued in NH
Practice address
79 S Main St
Hanover, NH 03755-2012
Phone
(603) 643-3178
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R2293 NH Primary

Addresses

Primary practice location

79 S Main St
Hanover, NH 03755-2012

Mailing address

120 Tortolano Rd
South Royalton, VT 05068-5326
Phone (740) 602-2245

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cvshealth

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
R2293NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Manchester NH, L.L.C. PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1376160606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TORTOLANO RD",
            "city": "SOUTH ROYALTON",
            "state": "VT",
            "postal_code": "050685326",
            "telephone_number": "740-602-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 S MAIN ST",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552012",
            "telephone_number": "603-643-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRAZ",
        "first_name": "CHERIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cvshealth",
            "affiliation": "N",
            "endpointDescription": "computer",
            "address_1": "79 S Main St",
            "city": "Hanover",
            "state": "NH",
            "country_code": "US",
            "postal_code": "037552012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.