Active NPI
Tara G Gendron, RPH
- Pharmacist
- Portsmouth, NH
National Provider Identifier
1891069340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3999
- Practice address
- 161 Corporate Dr
Portsmouth, NH 03801-6825 - Phone
- (603) 436-0562
- Fax
- (603) 427-6155
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- 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 | R1354 | NH | |
| Pharmacist | 183500000X | 3999 | ME | Primary |
Addresses
Primary practice location
161 Corporate Dr
Portsmouth, NH 03801-6825
Mailing address
161 Corporate Dr
Portsmouth, NH 03801-6825
Phone (603) 436-0562
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3999 | ME | MD | Pharmacist |
| R1354 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1891069340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 CORPORATE DR",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038016825",
"telephone_number": "603-436-0562",
"fax_number": "603-427-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 CORPORATE DR",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038016825",
"telephone_number": "603-436-0562",
"fax_number": "603-427-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDRON",
"first_name": "TARA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1354",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "3999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.