NPIMap

Organization Active NPI

CVS Pharmacy

  • Community Health Clinic/Center
  • Manchester, NH
National Provider Identifier
1639629199
Registry record updated Oct 8, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2016

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

Authorized official

Name
Mr. Ronald J ReaNPI 1306396643
Title
Staff Pharmacist
Phone
(603) 623-3392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 2235 NH Primary

Addresses

Primary practice location

432 S Main St
Manchester, NH 03102-4850

Mailing address

432 S Main St
Manchester, NH 03102-4850
Phone (603) 623-3542

National Provider Directory

National Provider Directory

Locations

432 S Main St
Manchester, NH 03102
Phone (603) 623-3532

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Manchester, NH

Sources for this page

  • 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.