Active NPI
Charles John Fanaras, RPH
- Pharmacist
- Concord, NH
National Provider Identifier
1962555334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2408
- Practice address
- 125 N Main St
Suite #1
Concord, NH 03301-4921 - Phone
- (603) 224-9591
- Fax
- (603) 226-7100
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2408 | NH | Primary |
Addresses
Primary practice location
125 N Main St
Suite #1
Concord, NH 03301-4921
Mailing address
1 Granite PL Ste 200N
Concord, NH 03301-3271
Phone (032) 236-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2408 | Other | NH | NEW HAMPSHIRE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 2408 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rethymno Enterprises LLC | Current | Accepting new patients |
Locations
1 Granite Pl
Ste 200N
Concord, NH 03301
Phone (603) 224-9591
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Concord, NH
- NPI 1316638521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1962555334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GRANITE PL STE 200N",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013271",
"telephone_number": "032-236-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N MAIN ST",
"address_2": "SUITE #1",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014921",
"telephone_number": "603-224-9591",
"fax_number": "603-226-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANARAS",
"first_name": "CHARLES",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "2408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE BOARD OF PHARMACY",
"identifier": "2408",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.