Active NPI
Randall J Sims, PHARMACIST
- Pharmacist
- Plymouth, NH
National Provider Identifier
1982811295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- NHR1397
- Practice address
- 683 Tenney Mountain Hwy
Plymouth, NH 03264-3161 - Phone
- (603) 536-5350
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 | NHR1397 | NH | Primary |
Addresses
Primary practice location
683 Tenney Mountain Hwy
Plymouth, NH 03264-3161
Mailing address
29A Melissa Way
Laconia, NH 03246-1985
Phone (603) 366-4314
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NHR1397 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982811295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29A MELISSA WAY",
"city": "LACONIA",
"state": "NH",
"postal_code": "032461985",
"telephone_number": "603-366-4314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "683 TENNEY MOUNTAIN HWY",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "032643161",
"telephone_number": "603-536-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "RANDALL",
"middle_name": "J",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "NHR1397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.