JOHN RICHARD PETRICONE (NPI# 1083833545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083833545 |
| Entity Type | Individual |
| Full Name | JOHN RICHARD PETRICONE |
| Credential | R.PH. |
| Practice Address |
288 Union Ave Laconia NH 03246-3115 |
| Mailing Address |
99 Eastman Shore Rd N Laconia NH 03246-1436 |
| Practice Telephone | 6035281700 |
| Mailing Telephone | 6035286012 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | R857 | NH | Pharmacy Service Providers |
| Street Address |
288 UNION AVE |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568937662 | Katrina Roy-brooks | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2018-10-04 |
| 1992254932 | Nicholas Joseph Belviso | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2016-10-03 |
| 1336453489 | Geraldine Bennett | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2010-07-31 |
| 1063732360 | Maira Danizza Zegarra | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2010-06-09 |
| 1083932776 | Bruce Rankins | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2010-05-05 |
| 1356561120 | Steven Hollis Gove | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973750 | Saad Baradei | Pharmacist | 45 Court St, Laconia, NH 03246-3634 | 2020-08-19 |
| 1568937662 | Katrina Roy-brooks | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2018-10-04 |
| 1871036749 | Taner Tan | Pharmacist | 45 Court St, Laconia, NH 03246-3634 | 2016-11-28 |
| 1992254932 | Nicholas Joseph Belviso | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2016-10-03 |
| 1508219932 | Kristin Silveria | Pharmacist | 220 Union Ave, Laconia, NH 03246-3103 | 2016-07-20 |
| 1598115768 | Andrea Moalli | Pharmacist | 220 Union Ave, Laconia, NH 03246-3103 | 2016-06-17 |
| 1376824342 | Melissa B Grant | Pharmacist | 45 Court St, Laconia, NH 03246-3634 | 2011-09-06 |
| 1346521416 | Wesley Crockett | Pharmacist | 45 Court St, Walgreens, Laconia, NH 03246-3634 | 2011-09-02 |
| 1336453489 | Geraldine Bennett | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2010-07-31 |
| 1063732360 | Maira Danizza Zegarra | Pharmacist | 288 Union Ave, Laconia, NH 03246-3115 | 2010-06-09 |
| Find all providers in LACONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.