Individual provider Active NPI

Anthony S Martinchick, PHARM D.

  • Pharmacist
  • Windham, NH
National Provider Identifier
1942584701
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16304 Issued in CO
Practice address
11 Osgood St
Windham, NH 03087-2371
Phone
(970) 692-9710
NPI assigned
Sep 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R1776 NH
Pharmacist 183500000X 16304 CO Primary

Addresses

Primary practice location

11 Osgood St
Windham, NH 03087-2371

Mailing address

20 Carlisle LN
Pelham, NH 03076-2430

Other identifiers 2

IdentifierTypeStateIssuer
R1776OtherNHNH PHARMACY LICENSE NUMBER
R1776OtherNHNH 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

State licenses

LicenseStateTypeSpecialty
16304COMDPharmacist
R1776NHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550880000000",
    "number": "1942584701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CARLISLE LN",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030762430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OSGOOD ST",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872371",
            "telephone_number": "970-692-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINCHICK",
        "first_name": "ANTHONY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2019-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R1776",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH PHARMACY LICENSE NUMBER",
            "identifier": "R1776",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE",
            "identifier": "R1776",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.