Active NPI
William Gerald McCormick, PHARM.D.
- Pharmacist
- Manchester, NH
National Provider Identifier
1538463088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R2310
- Practice address
- 175 Queen City Ave
Manchester, NH 03101 - Phone
- (603) 663-5678
- Fax
- (603) 663-3278
- NPI assigned
- Dec 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R2310 | NH | Primary |
| Pharmacist | 183500000X | 28RI02942900 | NJ | |
| Pharmacist | 183500000X | 1827 | AK |
Addresses
Primary practice location
175 Queen City Ave
Manchester, NH 03101
Mailing address
175 Queen City Ave
Manchester, NH 03101
Phone (603) 663-5678
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1827 | AK | MD | Pharmacist |
| R2310 | NH | MD | Pharmacist |
| 28RI02942900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Hospital of the City of Manchester | Past | 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.
-
- Community/Retail Pharmacy
- Bedford, NH
- NPI 1336638352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1538463088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 QUEEN CITY AVE",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03101",
"telephone_number": "603-663-5678",
"fax_number": "603-663-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 QUEEN CITY AVE",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03101",
"telephone_number": "603-663-5678",
"fax_number": "603-663-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "WILLIAM",
"middle_name": "GERALD",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-27",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R2310",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02942900",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1827",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.