Individual provider Active NPI

Dennis Van Vo, RPH

  • Pharmacist
  • Tilton, NH
National Provider Identifier
1871106872
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHCY-00950 Issued in NH
Practice address
4 Sanborn Rd
Tilton, NH 03276-5784
Phone
(603) 286-1932
Fax
(603) 286-1938
NPI assigned
Aug 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHCY-00950 NH Primary

Addresses

Primary practice location

4 Sanborn Rd
Tilton, NH 03276-5784

Mailing address

4 Sanborn Rd
Tilton, NH 03276-5784
Phone (603) 286-1932

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PHCY-00950NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Dec 1, 2022 Accepting new patients
Walgreen Eastern Co Inc PastSince Aug 1, 2020 Accepting new patients
Walgreen Eastern Co Inc PastSince Sep 15, 2024 Accepting new patients
Walgreen Co PastSince Dec 1, 2022 Accepting new patients

Locations

4 Sanborn Rd
Tilton, NH 03276
Phone (603) 286-1932

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1871106872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANBORN RD",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765784",
            "telephone_number": "603-286-1932",
            "fax_number": "603-286-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SANBORN RD",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765784",
            "telephone_number": "603-286-1932",
            "fax_number": "603-286-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "DENNIS",
        "middle_name": "VAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-00950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tilton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.