Mytilini Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0746 Issued in NH

Legal business name

MYTILINI ENTERPRISES LLC

Practice address

18 Foundry St
Suite 102
Concord, NH 03301-5419

Phone

(603) 224-2111

Fax

(603) 225-4907

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Charlie Fanaras, RPH

Title

Owner

Phone

(603) 224-9591

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE PRESCRIPTION CENTER Doing business as

Tax ID family

Bedford Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mytilini Enterprises

  • Community/Retail Pharmacy
  • Bedford, NH
  • NPI 1376088443
  NPD tax ID
• Mytilini Enterprises, LLC

  • Community/Retail Pharmacy
  • Bedford, NH
  • NPI 1174626550
  NPD tax ID

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1679748719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FOUNDRY ST",
            "address_2": "SUITE 102",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FOUNDRY ST",
            "address_2": "SUITE 102",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015419",
            "telephone_number": "603-224-2111",
            "fax_number": "603-225-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTILINI ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FANARAS",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-224-9591",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3061075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PRESCRIPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Murray, OTR/L
• Brenna A Murrin Anderson, L.AC.
• Julianne Murthi, NP
• Lisa Marie Mutina, RPH
• Myeyedr Optometry of New Hampshire, PLLC
• N H Optical Laboratory LLC
• Kimberly Michelle Nadeau, PT,MS,GCS,CWS
• Nicole M Nadeau, AUD, CCC-A
• David J Nagel, MD
• Mary Frances Nagel, ARNP

• Community/Retail Pharmacy in Concord, NH
• Providers in Concord, NH by specialty
• Community/Retail Pharmacy in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.