Active NPI
Surekha Kota
- Pharmacy Technician
- Londonderry, NH
National Provider Identifier
1689321028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPHT-123974
- Practice address
- 123 Nashua Rd
Londonderry, NH 03053-3453 - Phone
- (603) 437-8100
- NPI assigned
- Mar 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CPHT-123974 | NH | Primary |
Addresses
Primary practice location
123 Nashua Rd
Londonderry, NH 03053-3453
Mailing address
19 Bourne Dr
Bedford, NH 03110-6849
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPHT-123974 | NH | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug North Inc | Past | Accepting new patients | |
| Maxi Drug North Inc | Past | Accepting new patients |
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.
-
dba Rite Aid Pharmacy 10280
- Community/Retail Pharmacy
- Laconia, NH
- NPI 1275632556
-
dba Rite Aid Pharmacy 10267
- Community/Retail Pharmacy
- Londonderry, NH
- NPI 1346349628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646524800000",
"number": "1689321028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BOURNE DR",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 NASHUA RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533453",
"telephone_number": "603-437-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTA",
"first_name": "SUREKHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-06",
"last_updated": "2022-03-06",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NH",
"license": "CPHT-123974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.