Stephen Kavadias, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

R1571 Issued in NH

Practice address

219 Fisherville Rd
Penacook, NH 03303-2074

Phone

(603) 565-0210

Fax

(603) 565-0214

NPI assigned

Mar 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• MLJC Inc

  • Community/Retail Pharmacy
  • Penacook, NH
  • NPI 1184853723
  NPD (past)

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1760724462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 FISHERVILLE RD",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033032074",
            "telephone_number": "603-565-0210",
            "fax_number": "603-565-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 FISHERVILLE RD",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033032074",
            "telephone_number": "603-565-0210",
            "fax_number": "603-565-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVADIAS",
        "first_name": "STEPHEN",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R1571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30707542",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Insha Haque, D.O.
• Jaclyn M Hatch, LMT, CPT
• Mark P. Herron, PA-C
• Stephenie E Horne, LICSW
• Carrie Hughes, ARNP
• Michael I Kramer, DMD
• Francis Henry La Branche Jr, DDS
• Tad P Lanagan, DO
• Virginia Luce, MS
• Merrimack Valley School District

• Pharmacist in Penacook, NH
• Providers in Penacook, NH by specialty
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.