ELLIOT HOSPITAL OF THE CITY OF MANCHESTER (NPI# 1336638352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336638352 |
| Entity Type | Organization |
| Organization Name | ELLIOT HOSPITAL OF THE CITY OF MANCHESTER |
| Other Organization Name | ELLIOT PHARMACY AT BEDFORD |
| Practice Address |
25 Leavy Dr Bedford NH 03110 |
| Mailing Address |
25 Leavy Dr Bedford NH 03110-4437 |
| Practice Telephone | 6034721282 |
| Practice Fax Number | 6034721280 |
| Mailing Telephone | 6034721282 |
| Mailing Fax Number | 6034721280 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | RICHARD MAXWELL (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6036635573 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLIOT HOSPITAL OF THE CITY OF MANCHESTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
04423 | NH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177469 | 01 |
| Other Name | Type Code |
|---|---|
| Elliot Pharmacy at Bedford | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689764482 | Elliot Hospital of The City of Manchester | Durable Medical Equipment & Medical Supplies | 1050 Holt Ave, Suite 5, Manchester, NH 03109-5615 | 2006-10-13 |
| 1881031854 | Elliot Hospital of The City of Manchester | Pharmacy | 175 Queen City Ave, Suite 1, Manchester, NH 03101 | 2013-05-30 |
| 1427325729 | Elliot Hospital of The City of Manchester | Durable Medical Equipment & Medical Supplies | 185 Queen City Ave, Manchester, NH 03101-7121 | 2011-11-30 |
| 1992880009 | Elliot Hospital of The City of Manchester | Psychiatric Unit | 1 Elliot Way, Manchester, NH 03103-3502 | 2006-10-26 |
| 1902996028 | Elliot Hospital of The City of Manchester | General Acute Care Hospital | 1 Elliot Way, Manchester, NH 03103-3502 | 2006-10-13 |
| Street Address |
25 LEAVY DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708102 | Lou-ellen Enman | Nurse Practitioner | 25 Leavy Dr, Bedford, NH 03110-4437 | 2019-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| 1366841819 | Lauren J Gifford | Nurse Practitioner | 4 Hawthorne Drive, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1922589282 | Alphadome Pharmacy Inc | Pharmacy | 1125 Bedford Rd Ste B, Bedford, TX 76022-6669 | 2018-08-24 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1285130344 | Allen Rx, LLC. | Pharmacy | 1908 Central Dr Ste C, Bedford, TX 76021-5822 | 2018-04-05 |
| 1558739557 | Impulse Pharmacy Incorporated | Pharmacy | 3901 Airport Fwy Ste 116, Bedford, TX 76021-6117 | 2015-09-08 |
| 1285760231 | Doctor's Plaza Pharmacy | Pharmacy | 1305 Airport Fwy Ste 110, Bedford, TX 76021-6603 | 2007-02-26 |
| 1952489957 | Minyard Food Stores Inc. | Pharmacy | 2204 Airport Fwy, Bedford, TX 76022-6061 | 2006-11-01 |
| 1649354234 | Cvs Manchester Nh, L.L.C. | Pharmacy | 66 S River Rd, Bedford, NH 03110-6709 | 2006-10-24 |
| 1356440713 | Cvs Pharmacy Inc | Pharmacy | 199 Great Rd, Bedford, MA 01730-2713 | 2006-09-22 |
| 1780783944 | Thrift Drug Inc | Pharmacy | 109 Railroad St, Bedford, PA 15522-1014 | 2006-09-22 |
| Find all providers in BEDFORD | ||||
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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.