Penacook Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0180 Issued in NH

Legal business name

PENACOOK PHARMACY LLC

Doing business as

Penacook Pharmacy LLC

Practice address

305 Village St
Penacook, NH 03303-4508

Phone

(603) 753-6391

Fax

(603) 753-8664

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Navoy, TECH

Title

Manager

Phone

(603) 753-6391

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PENACOOK PHARMACY LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kate Langlais-McNutt, RPH

  • Pharmacist
  • Concord, NH
  • NPI 1003518101
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1588742092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 VILLAGE ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033034508",
            "telephone_number": "603-753-6391",
            "fax_number": "603-753-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 VILLAGE ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033034508",
            "telephone_number": "603-753-6391",
            "fax_number": "603-753-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENACOOK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "NAVOY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-753-6391",
        "authorized_official_credential": "TECH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3000231",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080329",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENACOOK PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PENACOOK PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaime Murphy, RDH
• James Nicholls, PHD
• Optivan of Newhampshire Inc
• Galina Pavlencheva, DO
• Penacook Assisted Living Facility, Inc (John H Whitaker Place)
• Stephanie Pierce, APRN
• Heather Lee Pothier
• Semon Farida Basar Randall
• Samuel T Roedell, BA
• Amy E Rust, DMD

• Community/Retail Pharmacy in Penacook, NH
• Providers in Penacook, NH by specialty
• Community/Retail Pharmacy in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.