NPIMap

Organization Active NPI

Fanaras Enterprises, Inc

Doing business as The Prescription Center

  • Community/Retail Pharmacy
  • Concord, NH
National Provider Identifier
1659377133
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0300 Issued in NH
Legal business name
FANARAS ENTERPRISES, INC
Doing business as
The Prescription Center
Practice address
125 N Main St
Suite #1
Concord, NH 03301-4921
Phone
(603) 224-9591
Fax
(603) 224-5361
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Mr. Charles John Fanaras, RPH
Title
President
Phone
(603) 224-9591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0300 NH Primary

Addresses

Primary practice location

125 N Main St
Suite #1
Concord, NH 03301-4921

Mailing address

125 N Main St
Suite #1
Concord, NH 03301-4921
Phone (603) 224-9591

Other identifiers 2

IdentifierTypeStateIssuer
0027608OtherNHIMMUNIZATION SUPPLIER NUMBER
80009245MedicaidNH

Other names 1

  • The Prescription Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120823000005 NH Part B Supplier - Mass Immunization (Roster Biller Only) 0941327845 Practice locations: Concord, NH

National Provider Directory

National Provider Directory
Tax ID family
Fanaras Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 N Main St
Concord, NH 03301
Phone (603) 224-9591

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1659377133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "address_2": "SUITE #1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014921",
            "telephone_number": "603-224-9591",
            "fax_number": "603-224-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N MAIN ST",
            "address_2": "SUITE #1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014921",
            "telephone_number": "603-224-9591",
            "fax_number": "603-224-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANARAS ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "FANARAS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-224-9591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZATION SUPPLIER NUMBER",
            "identifier": "0027608",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80009245",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prescription Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.