Active NPI
Kaitlyn Simoneau
- Pharmacist
- Londonderry, NH
National Provider Identifier
1992165229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3644
- Practice address
- 4 Orchard View Dr
Londonderry, NH 03053-3372 - Phone
- (603) 437-6933
- Fax
- (603) 437-4531
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- 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 | 3644 | NH | Primary |
Addresses
Primary practice location
4 Orchard View Dr
Londonderry, NH 03053-3372
Mailing address
4 Orchard View Dr
Londonderry, NH 03053-3372
Phone (603) 437-6933
Other names 1
- Miss Kaitlyn Bowersox
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 |
|---|---|---|---|
| 3644 | NH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1992165229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ORCHARD VIEW DR",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533372",
"telephone_number": "603-437-6933",
"fax_number": "603-437-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ORCHARD VIEW DR",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533372",
"telephone_number": "603-437-6933",
"fax_number": "603-437-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONEAU",
"first_name": "KAITLYN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "BOWERSOX",
"prefix": "MISS",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.