Active NPI
Steven Michael Klidaras, MBA, RPH
- Pharmacist
- Dover, NH
National Provider Identifier
1790123644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2695
- Practice address
- 679 Central Ave
Dover, NH 03820-3402 - Phone
- (603) 742-5313
- Fax
- (603) 742-7819
- NPI assigned
- Jun 12, 2013
- 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 | 2695 | NH | Primary |
Addresses
Primary practice location
679 Central Ave
Dover, NH 03820-3402
Mailing address
679 Central Ave
Dover, NH 03820-3402
Phone (603) 742-5313
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2695 | NH | MD | Professional Counselor |
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.
-
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": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1790123644",
"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",
"telephone_number": "603-742-5313",
"fax_number": "603-742-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038203402",
"telephone_number": "603-742-5313",
"fax_number": "603-742-7819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIDARAS",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MBA, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "2695",
"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 Jun 12, 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.