John Mather Wallis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHCY-04332 Issued in NH

Practice address

123 Nashua Rd
Londonderry, NH 03053-3453

Phone

(603) 437-8100

NPI assigned

Oct 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Maxi Drug North Inc

  • Community/Retail Pharmacy
  • Laconia, NH
  • NPI 1275632556
  NPD (past)
• Maxi Drug North Inc

  • Community/Retail Pharmacy
  • Londonderry, NH
  • NPI 1346349628
  NPD (past)

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509148800000",
    "number": "1467964635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 WOODHAVEN DR UNIT 6J",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012831",
            "telephone_number": "603-252-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NASHUA RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533453",
            "telephone_number": "603-437-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "JOHN",
        "middle_name": "MATHER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-28",
        "last_updated": "2017-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-04332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoey Cathryn Vichko
• Rebecca Lynne Vigeant, PA-C
• Danielle Michelle Viola, LCMHC
• Vistacrest Consulting LLC
• Walgreen Eastern Co Inc
• Daniel A. Waszkowski, MD
• Lori Ann Watson, BCBA
• Rick Watson
• Mary Elizabeth Webster, CCC-SLP
• Well Fed Feeding and Swallowing Therapy

• Pharmacist in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.