Bedford Pharmacy Corp.

Primary specialty

PharmacistTaxonomy code 183500000X

License

51 Issued in NH

Legal business name

BEDFORD PHARMACY CORP.

Practice address

209 Route 101
101 Plaza
Bedford, NH 03110-5440

Phone

(603) 472-3919

Fax

(603) 472-7448

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Ronald Petrin, RPH

Title

President

Phone

(603) 472-3939

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982600128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ROUTE 101",
            "address_2": "101 PLAZA",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105440",
            "telephone_number": "603-472-3919",
            "fax_number": "603-472-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ROUTE 101",
            "address_2": "101 PLAZA",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105440",
            "telephone_number": "603-472-3919",
            "fax_number": "603-472-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD PHARMACY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-472-3939",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "51",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003023",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bedford Hills SNF Opco LLC
• Bedford Internal Medicine PA
• Bedford Medical Imaging Center, LLC
• Bedford Nursing & Rehab Services, LLC
• Bedford Pediatrics, P.a.
• Bedford Podiatry Group PC
• Bedford School District
• Bedford SNF Opco LLC
• Bedford Village Dental PLLC
• Bedford Women'S Care Associates PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.