Active NPI
Jesse Ian Quimby
- Pharmacist
- Portsmouth, NH
National Provider Identifier
1609415678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3289
- Practice address
- 1303 Woodbury Ave
Portsmouth, NH 03801-3217 - Phone
- (603) 431-1580
- Fax
- (603) 431-2914
- NPI assigned
- Dec 23, 2019
- 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 | 3289 | NH | Primary |
Addresses
Primary practice location
1303 Woodbury Ave
Portsmouth, NH 03801-3217
Mailing address
235 Oak Hill Rd
Barrington, NH 03825-5817
Phone (603) 664-2969
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3289 | NH | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug North Inc | Past | Accepting new patients | |
| Maxi Drug North 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Laconia, NH
- NPI 1275632556
-
- Community/Retail Pharmacy
- Portsmouth, NH
- NPI 1629178066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1609415678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 OAK HILL RD",
"city": "BARRINGTON",
"state": "NH",
"postal_code": "038255817",
"telephone_number": "603-664-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 WOODBURY AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038013217",
"telephone_number": "603-431-1580",
"fax_number": "603-431-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIMBY",
"first_name": "JESSE",
"middle_name": "IAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.