Compounding Pharmacy of Southern New Hampshire Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0777 P Issued in NH

Legal business name

COMPOUNDING PHARMACY OF SOUTHERN NEW HAMPSHIRE INC

Doing business as

Londonderry Compounding Pharmacy

Practice address

1C Commons Dr Unit 17
Londonderry, NH 03053-3441

Phone

(603) 845-5155

Fax

(603) 845-5154

NPI assigned

Dec 20, 2011

Last updated

Aug 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Puleo

Title

Owner/Pharmacist

Phone

(603) 845-5155

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Londonderry Compounding Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1609145630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR # C",
            "address_2": "UNIT 17",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533441",
            "telephone_number": "603-845-5155",
            "fax_number": "603-845-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1C COMMONS DR UNIT 17",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533441",
            "telephone_number": "603-845-5155",
            "fax_number": "603-845-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING PHARMACY OF SOUTHERN NEW HAMPSHIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "PULEO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "603-845-5155"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0777 P",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Londonderry Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Londonderry, NH
• Providers in Londonderry, 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 Aug 13, 2013; 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.