NPIMap

Organization Active NPI

Elliot Hospital of the City of Manchester

Doing business as Elliot Pharmacy at River's Edge

  • Community/Retail Pharmacy
  • Manchester, NH
National Provider Identifier
1881031854
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0635 Issued in NH
Legal business name
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
Doing business as
Elliot Pharmacy at River's Edge
Practice address
175 Queen City Ave
Suite 1
Manchester, NH 03101
Phone
(603) 663-5678
Fax
(603) 663-3202
NPI assigned
May 30, 2013
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ELLIOT HOSPITAL OF THE CITY OF MANCHESTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Richard Maxwell
Title
Director of Finance
Phone
(603) 663-5573

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0635 NH Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

175 Queen City Ave
Suite 1
Manchester, NH 03101

Mailing address

175 Queen City Ave
Suite 1
Manchester, NH 03101
Phone (603) 663-5678

Other identifiers 2

IdentifierTypeStateIssuer
0635OtherNHSTATE PHARMACY PERMIT NUMBER
3084310MedicaidNH

Other names 1

  • Elliot Pharmacy at River's Edge Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131009000290 NH Part B Supplier - Mass Immunization (Roster Biller Only) 3173434982 1 other NPI on this enrollment
Practice locations: Bedford, NH; Manchester, NH
O20200319000968 NH DME Supplier - Pharmacy 3173434982 Practice locations: Manchester, NH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Home Medical Equipment & Infusion175 Queen City Ave, Manchester, NH 03101-7121(603) 663-2728 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchai… Accepts assignmentParticipating since Jan 1, 1998
Elliot Hospital of the City of Manc175 Queen City Ave, Manchester, NH 03101-7121(603) 663-5678 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Nebulizer Equipment… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Elliot Hospital of the City10 organizations share this tax ID, including this one
Part of
Elliot Hospital of the City

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Leavey Dr
Bedford, NH 03110
Phone (603) 472-5860

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1881031854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 QUEEN CITY AVE",
            "address_2": "SUITE 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-663-5678",
            "fax_number": "603-663-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 QUEEN CITY AVE",
            "address_2": "SUITE 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-663-5678",
            "fax_number": "603-663-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT HOSPITAL OF THE CITY OF MANCHESTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIOT HOSPITAL OF THE CITY OF MANCHESTER",
        "enumeration_date": "2013-05-30",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "603-663-5573"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0635",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY PERMIT NUMBER",
            "identifier": "0635",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084310",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elliot Pharmacy at River's Edge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elliot Pharmacy at River's Edge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.