MRS. STACEY NAULT-BASTIAN (NPI# 1265883789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265883789 |
| Entity Type | Individual |
| Full Name | MRS. STACEY NAULT-BASTIAN |
| Credential | RPH |
| Practice Address |
271 Mammoth Rd Manchester NH 03109-4124 |
| Mailing Address |
281 Route 129 Loudon NH 03307-1337 |
| Practice Telephone | 6036233995 |
| Mailing Telephone | 6035688863 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2801 | NH | Pharmacy Service Providers |
| Street Address |
271 MAMMOTH RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03109-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871676130 | Cvs Manchester Nh, L.L.C. | Pharmacy | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2006-10-23 |
| 1902412489 | Andy Lam | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2020-09-19 |
| 1427605377 | Lauren Nicole Cronin | Registered Nurse | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2019-08-23 |
| 1457862195 | Julianne Jefferson | Nurse Practitioner | 271 Mammoth Rd, Manchester, NH 03109 | 2017-10-20 |
| 1588181515 | Brian Fontaine | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2017-08-30 |
| 1720504491 | Scott Gallagher | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2017-08-15 |
| 1396270633 | Michelle Bou-mitri | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2017-04-24 |
| 1316490618 | Jessie Anh Boseke | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2016-08-03 |
| 1912358185 | Jen Phuong Mooers | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2016-06-28 |
| 1356791925 | Katherine Papakostas | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275960452 | Valerie Amador | Physical Therapy Assistant | 195 Sibley Terrace, Manchester, NH 03109 | 2013-10-02 |
| 1104894708 | Mahendra Singh Panesar | Pediatrics | Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-03-09 |
| 1225004005 | Edward P. Dalton | Surgery | Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-02-23 |
| 1487644829 | Donald E. Salvatore | Pediatrics | 275 Mammoth Road, Suite 2, Manchester, NH 03109 | 2005-10-26 |
| 1831191659 | Elliot Physicians Network | Internal Medicine | 1070 Holt Avenue, Unit 1 Suite 2200, Manchester, NH 03109 | 2005-08-11 |
| 1154708964 | Jared Dunahay | Pediatrics | 275 Mammoth Rd Ste 2, Manchester, NH 03109 | 2015-04-30 |
| 1326474750 | Jason Michael Albrecht | Internal Medicine | 275 Mammoth Rd Ste 4, Manchester, NH 03109 | 2013-09-17 |
| 1316379266 | Johnson Orthodontics, Pllc | Dentist | 113 Mammoth Rd, Suite 1, Manchester, NH 03109 | 2013-08-02 |
| 1093941924 | Muhammad Muddasir Qureshi | Psychiatry & Neurology | 275 Mammoth Rd Ste 1, Manchester, NH 03109 | 2009-06-05 |
| 1598921538 | Sarah Joy Girard | Occupational Therapist | 357 Island Pond Rd, Manchester, NH 03109 | 2008-07-30 |
| Find all providers in zip 03109 | ||||
| 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 |
|---|---|---|---|---|
| 1053911966 | Brittany Mary Travis | Pharmacist | 444 Center St # 117, Manchester, CT 06040-3926 | 2020-10-29 |
| 1255931788 | Hilary Tooley | Pharmacist | 725 Gold St, Manchester, NH 03103-4008 | 2020-10-26 |
| 1659913028 | Stephen Sam Penn | Pharmacist | 175 Queen City Ave Ste 1, Manchester, NH 03101-7121 | 2019-10-17 |
| 1407412901 | Eunice Boakye | Pharmacist | 210 Pine St Apt 228, Manchester, CT 06040-8411 | 2019-05-10 |
| 1528547858 | Justin Andrew Sandlin | Pharmacist | 2727 S Highway 421, Manchester, KY 40962-7556 | 2018-08-08 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1609325026 | Kaitlin Rennie | Pharmacist | 1225 Bodwell Rd Apt 30, Manchester, NH 03109-5817 | 2016-09-27 |
| 1639522048 | Mohammed Kasim Manzoor I | Pharmacist | 70 Cliffside Dr, Unit E, Manchester, CT 06042-3481 | 2016-07-20 |
| 1891140513 | Edward Braye Entsiwah | Pharmacist | 48 Benton St, Manchester, CT 06040-4304 | 2016-05-01 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03109 |
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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.