Individual provider Active NPI

Bronwin Southwick, CPHT

  • Pharmacy Technician
  • Jaffrey, NH
National Provider Identifier
1609529239
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
CPHT-124219 Issued in NH
Practice address
14 Peterborough St
Jaffrey, NH 03452-5857
Phone
(603) 532-6955
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X CPHT-124219 NH Primary

Addresses

Primary practice location

14 Peterborough St
Jaffrey, NH 03452-5857

Mailing address

378 Thorndike Pond Rd
Jaffrey, NH 03452-5139
Phone (603) 562-4902

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

LicenseStateTypeSpecialty
CPHT-124219NHMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of New Hampshire Inc PastSince Feb 6, 2022 Accepting new patients
Rite Aid of New Hampshire Inc PastSince Feb 6, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1609529239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 THORNDIKE POND RD",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034525139",
            "telephone_number": "603-562-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PETERBOROUGH ST",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034525857",
            "telephone_number": "603-532-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWICK",
        "first_name": "BRONWIN",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NH",
            "license": "CPHT-124219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jaffrey, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.