Active NPI
John T Edwards, PHARM.D.
- Pharmacist
- Manchester, NH
National Provider Identifier
1669075081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3464
- Practice address
- 79 Bicentennial Dr
Manchester, NH 03104-1306 - Phone
- (603) 644-2204
- Fax
- (603) 666-0600
- NPI assigned
- Nov 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 3464 | NH | Primary |
Addresses
Primary practice location
79 Bicentennial Dr
Manchester, NH 03104-1306
Mailing address
79 Bicentennial Dr
Manchester, NH 03104-1306
Phone (603) 644-2204
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3464 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1669075081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 BICENTENNIAL DR",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031041306",
"telephone_number": "603-644-2204",
"fax_number": "603-666-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 BICENTENNIAL DR",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031041306",
"telephone_number": "603-644-2204",
"fax_number": "603-666-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JOHN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3464",
"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 Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.