Maxi Drug North Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0721-P Issued in NH

Legal business name

MAXI DRUG NORTH INC

Doing business as

Rite Aid Pharmacy 10290

Practice address

1390 Lafayette Road
Portsmouth, NH 03801-5649

Phone

(603) 430-7595

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• RITE AID PHARMACY 10290 Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Cabral

  • Pharmacist
  • Portsmouth, NH
  • NPI 1023532454
  NPD (past)
• Eghonghon Joyce Osilama

  • Pharmacist
  • Portsmouth, NH
  • NPI 1225522824
  NPD (past)
• Keleon A D J Rockett, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Castle Rock, CO
  • NPI 1154013183
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1891894176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 LAFAYETTE ROAD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015649",
            "telephone_number": "603-430-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXI DRUG NORTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NH",
            "license": "0721-P",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0721-P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME MEDICAID",
            "identifier": "157130007",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3006714",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30701957",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157130007",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 10290",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Matthews
• Johanna Mautz
• William Thomas Mautz, PHD
• Jennifer Mawson
• Maxi Drug North Inc (Rite Aid Pharmacy 10291)
• Ken Maynard, M.D.
• Beatrice Mbaluka
• Barry F McArdle, DMD
• Kelly McCabe, BS
• Morgan McCabe

• Community/Retail Pharmacy in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Community/Retail Pharmacy in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.