Martin Stephen Donovan, R.PH., DCN, DIP HERB

Primary specialty

PharmacistTaxonomy code 183500000X

License

R933 Issued in NH

Practice address

239 Loudon Rd Ste 1a
Concord, NH 03301-6091

Phone

(603) 225-2747

Fax

(603) 227-6170

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Kimar LLC

  • Multi-Specialty Clinic/Center
  • Concord, NH
  • NPI 1427749878

  Nutritionist

  NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1962567537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 LOUDON RD STE 1A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016091",
            "telephone_number": "603-225-2747",
            "fax_number": "603-227-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 LOUDON RD STE 1A",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016091",
            "telephone_number": "603-225-2747",
            "fax_number": "603-227-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "MARTIN",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "R.PH., DCN, DIP HERB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa K Donnelly, CRNA
• Marilyn Bala Donnelly, RD
• Margaret M Donohue, PT
• Brianna Noelle Donovan, PA-C
• Colleen Donovan, CNS
• Donna Dooley, MA
• William N. Dooley, PT
• Krista Doran
• Sandra L Doris, COTAL
• Melissa A Doten, MSW, LICSW

• Pharmacist in Concord, NH
• Providers in Concord, NH by specialty
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.