SJ PHYSICIAN SERVICES, INC DBA NASHUA MEDICAL GROUP PHARMACY (NPI# 1174621189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174621189 |
Entity Type | Organization |
Organization Name | SJ PHYSICIAN SERVICES, INC DBA NASHUA MEDICAL GROUP PHARMACY |
Practice Address |
173 Daniel Webster Hwy Nashua NH 03060-5224 |
Mailing Address |
Po Box 95000 Lbx 7655 Philadelphia PA 19195-0001 |
Practice Telephone | 6038914439 |
Practice Fax Number | 6038914410 |
Mailing Telephone | 2077778202 |
Mailing Fax Number | 2077836660 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2019-07-17 |
Authorized Official Name | RICHARD J PLAMONDON (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6035983352 |
Is Organization Subpart | Y |
Parent Organization Name | SJ PHYSICIAN SERVICES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
06871 | NH | Suppliers |
Street Address |
173 DANIEL WEBSTER HWY |
City | NASHUA |
State | NH |
Zip Code | 03060-5224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528061637 | Shanta Mahmudi | Family Medicine | 173 Daniel Webster Hwy, Nashua, NH 03060-5256 | 2005-05-23 |
1477037372 | Elizabeth Salie | Nurse Practitioner | 173 Daniel Webster Hwy, Nashua, NH 03060-5256 | 2018-09-18 |
1427404177 | Elizabeth G Tseytlin | Internal Medicine | 173 Daniel Webster Hwy, Nashua, NH 03060-5256 | 2016-05-12 |
1922345909 | Kimberly Delrossi | Nurse Practitioner | 173 Daniel Webster Hwy, Nashua, NH 03060-5256 | 2013-01-10 |
1902142367 | Sarah Lynn Shadallah | Nurse Practitioner | 173 Daniel Webster Hwy, Nashua, NH 03060 | 2012-12-12 |
1992078224 | Florence Phoebe Heitzman | Nurse Practitioner | 173 Daniel Webster Hwy, Nashua, NH 03060-5256 | 2012-02-16 |
1184907800 | Cara-jean Donaghey | Nurse Practitioner | 173 Daniel Webster Hwy, Nashua, NH 03060-5256 | 2011-09-20 |
1255560272 | Ilda Marcela Betancur Restrepo | Internal Medicine | 173 Daniel Webster Hwy, Nashua, NH 03060-5224 | 2009-07-12 |
1073756821 | Ann Girlie Rivera Tkaczyk | Nurse Practitioner | 173 Daniel Webster Hwy, Nashua, NH 03060-5256 | 2009-04-09 |
1528184462 | Mary Winkels | Pharmacist | 173 Daniel Webster Hwy, Nashua, NH 03060-5224 | 2007-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
Find all providers in zip 03060 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700249869 | Harbor Care Health and Wellness Center | Pharmacy | 45 High St, Nashua, NH 03060-3312 | 2016-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366971186 | Mary Hitchcock Memorial Hospital | Pharmacy | 5 Rope Ferry Rd, Hanover, NH 03755-1421 | 2017-06-06 |
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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.