Active NPI
Karen Lynn Radwanski, RPH
- Psychiatric Pharmacist
- Concord, NH
National Provider Identifier
1740495217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 4151053
- Practice address
- 117 Manchester St Ste 5a
Concord, NH 03301-5101 - Phone
- (603) 606-9357
- Fax
- (603) 217-2075
- NPI assigned
- May 10, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 4151053 | NH | |
| Pharmacist | 183500000X | 3021 | NH | |
| Psychiatric Pharmacist | 1835P1300X | 4151053 | NH | Primary |
Addresses
Primary practice location
117 Manchester St Ste 5a
Concord, NH 03301-5101
Mailing address
117 Manchester St Ste 5a
Concord, NH 03301-5101
Phone (603) 606-9357
Other practice location 1
260 Western Ave Ste 207
South Portland, ME 04106-2457
Phone (603) 606-9357
Other practice location 2
1077 Chestnut St
Manchester, NH 03104-2002
Phone (603) 627-5331
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3021 | NH | MD | General Practice Dentistry |
| 4151053 | NH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Collaborative Care LLC | Psychiatric | Current | Accepting new patients |
Locations
260 Western Ave
Ste 207
South Portland, ME 04106
Phone (603) 606-9357
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Concord, NH
- NPI 1588340749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1740495217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MANCHESTER ST STE 5A",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015101",
"telephone_number": "603-606-9357",
"fax_number": "603-217-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 MANCHESTER ST STE 5A",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015101",
"telephone_number": "603-606-9357",
"fax_number": "603-217-2075"
}
],
"practiceLocations": [
{
"address_1": "260 Western Ave Ste 207",
"address_purpose": "LOCATION",
"city": "South Portland",
"state": "ME",
"postal_code": "041062457",
"country_code": "US",
"telephone_number": "603-606-9357",
"fax_number": "603-217-2075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1077 Chestnut St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031042002",
"country_code": "US",
"telephone_number": "603-627-5331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADWANSKI",
"first_name": "KAREN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NH",
"license": "4151053",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3021",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NH",
"license": "4151053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.