CVS Pharmacy

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

2235 Issued in NH

Legal business name

CVS PHARMACY

Practice address

432 S Main St
Manchester, NH 03102-4850

Phone

(603) 623-3542

NPI assigned

Oct 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Ronald J Rea

Title

Staff Pharmacist

Phone

(603) 623-3392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475884800000",
    "number": "1639629199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024850",
            "telephone_number": "603-623-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024850",
            "telephone_number": "603-623-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-08",
        "last_updated": "2016-10-08",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "603-623-3392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NH",
            "license": "2235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Cushman, LMT
• Lauren Cusson
• CVS Manchester NH LLC
• CVS Manchester NH, L.L.C.
• CVS Manchester NH, L.L.C.
• Leah Cyr, APRN
• Wendy Ann Cyr, RN CDE
• Jennifer M D Auteuil, APRN, MS
• Delphine D Severe
• Cereen Dabbousi

• Community Health Clinic/Center in Manchester, NH
• Providers in Manchester, NH by specialty
• Community Health Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.