1174609408 NPI number — CARE PHARMACY INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174609408 NPI number — CARE PHARMACY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARE PHARMACY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CARE HEALTH SERVICES OF SOMERSWORTH
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174609408
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 WINTER ST STE 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03867-3108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-335-2685
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 SOMERSWORTH PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERSWORTH
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03878
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-692-3227
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CASSIDY
Authorized Official First Name:
FRANCIS
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT CARE PHARMACY OF SOMERSWO
Authorized Official Telephone Number:
603-335-2685

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 138750001 . This is a "ME" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 00000268 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 12Y003030NH01 . This is a "ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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