Active NPI
Pierce Monroe Kocjan, PHARMD
- Pharmacist
- West Lebanon, NH
National Provider Identifier
1689260655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHCY-00986
- Practice address
- 250 Plainfield Rd
West Lebanon, NH 03784-2000 - Phone
- (603) 298-8350
- Fax
- (603) 298-0547
- NPI assigned
- Dec 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0134355 | VT | |
| Pharmacist | 183500000X | PCT.0015145 | CT | |
| Pharmacist | 183500000X | PH238714 | MA | |
| Pharmacist | 183500000X | PHCY-00986 | NH | Primary |
Addresses
Primary practice location
250 Plainfield Rd
West Lebanon, NH 03784-2000
Mailing address
4 Semb Dr
Erving, MA 01344-4414
Phone (413) 422-1191
Other practice location 1
201 Highland St
Clinton, MA 01510-1037
Phone (978) 368-3774
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 |
|---|---|---|---|
| PCT.0015145 | CT | MD | Pharmacist |
| PH238714 | MA | MD | Pharmacist |
| PHCY-00986 | NH | MD | Pharmacist |
| 033.0134355 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of New Hampshire, L.L.C. | Current | Accepting new patients | |
| CVS Manchester NH L.L.C. | Past | Accepting new patients |
Locations
250 Plainfield Rd
West Lebanon, NH 03784
Phone (603) 298-8350
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Concord, NH
- NPI 1477894673
-
- Pharmacy
- West Lebanon, NH
- NPI 1477637064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1689260655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SEMB DR",
"city": "ERVING",
"state": "MA",
"postal_code": "013444414",
"telephone_number": "413-422-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PLAINFIELD RD",
"city": "WEST LEBANON",
"state": "NH",
"postal_code": "037842000",
"telephone_number": "603-298-8350",
"fax_number": "603-298-0547"
}
],
"practiceLocations": [
{
"address_1": "201 Highland St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MA",
"postal_code": "015101037",
"country_code": "US",
"telephone_number": "978-368-3774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCJAN",
"first_name": "PIERCE",
"middle_name": "MONROE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0134355",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0015145",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH238714",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "PHCY-00986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.