Individual provider Active NPI

Surekha Kota

  • Pharmacy Technician
  • Londonderry, NH
National Provider Identifier
1689321028
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
CPHT-123974 Issued in NH
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

Updated by the provider on Mar 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CPHT-123974NHMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Maxi Drug North Inc PastSince Mar 13, 2022 Accepting new patients
Maxi Drug North Inc PastSince Mar 13, 2022 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.

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.

Verify at the official NPI Registry.