Active NPI
Conrad Pszczola
- Pharmacist
- Dover, NH
National Provider Identifier
1720537798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4260
- Practice address
- 679 Central Ave
Dover, NH 03820 - Phone
- (603) 742-5313
- NPI assigned
- Sep 30, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4260 | NH | Primary |
Addresses
Primary practice location
679 Central Ave
Dover, NH 03820
Mailing address
679 Central Ave
Dover, NH 03820-3402
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 |
|---|---|---|---|
| 4260 | NH | MD | Physical Therapist |
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.
-
- Community/Retail Pharmacy
- Laconia, NH
- NPI 1275632556
-
- Community/Retail Pharmacy
- Dover, NH
- NPI 1356440622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1720537798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038203402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "03820",
"telephone_number": "603-742-5313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PSZCZOLA",
"first_name": "CONRAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-30",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "4260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.