Active NPI
Mohamed Jaffer Merali
- Pharmacist
- Lebanon, NH
National Provider Identifier
1821678665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHCY-00944
- Practice address
- 12 Centerra Pkwy
Lebanon, NH 03766-1411 - Phone
- (603) 653-3785
- NPI assigned
- Apr 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033.0134309 | VT | |
| Pharmacist | 183500000X | PHCY-00944 | NH | Primary |
Addresses
Primary practice location
12 Centerra Pkwy
Lebanon, NH 03766-1411
Mailing address
12 Centerra Pkwy
Lebanon, NH 03766-1411
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 |
|---|---|---|---|
| PHCY-00944 | NH | MD | Pharmacist |
| 033.0134309 | VT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lebanon, NH
- NPI 1699275503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1821678665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CENTERRA PKWY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CENTERRA PKWY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661411",
"telephone_number": "603-653-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERALI",
"first_name": "MOHAMED JAFFER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-14",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033.0134309",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "PHCY-00944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.