Individual provider Active NPI

Michelle A Ross, PHARMD, RPH

  • Pharmacist
  • Londonderry, NH
National Provider Identifier
1851709836
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3969 Issued in NH
Practice address
123 Nashua Rd
Londonderry, NH 03053-3453
Phone
(603) 437-8100
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3969 NH Primary

Addresses

Primary practice location

123 Nashua Rd
Londonderry, NH 03053-3453

Mailing address

123 Nashua Rd
Londonderry, NH 03053-3453
Phone (603) 437-8100

Other identifiers 1

IdentifierTypeStateIssuer
3969OtherNHRPH LICENSE

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
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3969NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxi Drug North Inc PastSince Feb 19, 2023 Accepting new patients
Rite Aid of New Hampshire Inc PastSince Sep 5, 2023 Accepting new patients
Rite Aid of New Hampshire Inc Past Accepting new patients
Maxi Drug North Inc PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1851709836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NASHUA RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533453",
            "telephone_number": "603-437-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NASHUA RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533453",
            "telephone_number": "603-437-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE",
            "identifier": "3969",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.