Active NPI
Igor Katsenelenbogen
- Pharmacist
- Meredith, NH
National Provider Identifier
1740688068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R1680
- Practice address
- 89 NH Route 25
Meredith, NH 03253-6314 - Phone
- (603) 279-4551
- NPI assigned
- Dec 18, 2014
- Last updated
- Dec 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | R1680 | NH | Primary |
Addresses
Primary practice location
89 NH Route 25
Meredith, NH 03253-6314
Mailing address
111 Dix St
Bristol, NH 03222-5129
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 |
|---|---|---|---|
| R1680 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug North Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 10280
- Community/Retail Pharmacy
- Laconia, NH
- NPI 1275632556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1740688068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DIX ST",
"city": "BRISTOL",
"state": "NH",
"postal_code": "032225129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 NH ROUTE 25",
"city": "MEREDITH",
"state": "NH",
"postal_code": "032536314",
"telephone_number": "603-279-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSENELENBOGEN",
"first_name": "IGOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meredith, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.