Active NPI
Anthony S Martinchick, PHARM D.
- Pharmacist
- Windham, NH
National Provider Identifier
1942584701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16304
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1776 | Other | NH | NH PHARMACY LICENSE NUMBER |
| R1776 | Other | NH | NH 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16304 | CO | MD | Pharmacist |
| R1776 | NH | MD | Pharmacist |
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.