Active NPI
Edward Doherty, RPH
- Pharmacist
- Stratham, NH
National Provider Identifier
1598127367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3333
- Practice address
- 100 Shaws LN
Stratham, NH 03885-6532 - Phone
- (603) 773-5992
- Fax
- (603) 773-5996
- NPI assigned
- Mar 22, 2016
- Last updated
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3333 | NH | Primary |
Addresses
Primary practice location
100 Shaws LN
Stratham, NH 03885-6532
Mailing address
100 Shaws LN
Stratham, NH 03885-6532
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3333 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaws Supermarkets Inc | Past | Accepting new patients | |
| Shaws Supermarkets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shaws Pharmacy #0621
- Community/Retail Pharmacy
- Stratham, NH
- NPI 1093761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1598127367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SHAWS LN",
"city": "STRATHAM",
"state": "NH",
"postal_code": "038856532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SHAWS LN",
"city": "STRATHAM",
"state": "NH",
"postal_code": "038856532",
"telephone_number": "603-773-5992",
"fax_number": "603-773-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratham, NH
- Daniele A Crutcher
- CVS Manchester NH, L.L.C. (CVS Pharmacy #00500)
- Joseph Dattilo, PT, C.PED
- Davis Care Group, LLC (Senior Helpers of Southern New Hampshire)
- Diane Dipalermo, MS OTR-L
- James H Dolan, DPM
- Ellen Doller, MS, OTR-L
- Dr. Ken George & Associates, P.a.
- Darlyn Shakira Dragg, NMD
- Kristin Droste, MA CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.