Courage Dodzi Dziekpor, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PHCY-01287 Issued in NH

Practice address

122 McGregor St Ste 4
Manchester, NH 03102-3746

Phone

(603) 627-3822

NPI assigned

Feb 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Maxi Drug North Inc

  • Community/Retail Pharmacy
  • Laconia, NH
  • NPI 1275632556
  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1720731516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BANGOR ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631537",
            "telephone_number": "617-669-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MCGREGOR ST STE 4",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023746",
            "telephone_number": "603-627-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEKPOR",
        "first_name": "COURAGE",
        "middle_name": "DODZI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NH",
            "license": "PHCY-01287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Duval, RDH
• Sandra Elizabeth Dwan, FNP-C
• Christina Dyer, MA
• Kristen Dzialo, M.D.
• Veronica Jean Dziedzic, BA
• Ear Nose and Throat Specialists of Southern NH
• Ear Nose Throat Physicians & Surgeons PA
• Jennifer Earl, BSW
• East Coast Chiropractic LLC
• Easter Seals Maine, Inc

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Manchester, NH
• Providers in Manchester, NH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.