GRANITE STATE PHARMACY LLC (NPI# 1598104358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598104358 |
| Entity Type | Organization |
| Organization Name | GRANITE STATE PHARMACY LLC |
| Other Organization Name | GRANITE STATE PHARMACY |
| Practice Address |
5 Clinton St Concord NH 03301-2303 |
| Practice Telephone | 6032247429 |
| Practice Fax Number | 6032247042 |
| Mailing Telephone | 6032247429 |
| Mailing Fax Number | 6032247042 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | MR. CHAD ERIC BEANE (MEMBER) |
| Authorized Official Telephone | 6033938096 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| GRANITE STATE PHARMACY | Doing Business As Name - Organization |
| Street Address |
5 CLINTON ST |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912043829 | Modern Pharmacy | Pharmacy | 5 Clinton St, Concord, NH 03301-2303 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| 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 |
|---|---|---|---|---|
| 1326525551 | Genoa Healthcare, LLC | Pharmacy | 10 West St Ste P, Concord, NH 03301-3548 | 2018-07-20 |
| 1700385648 | Pharm90, LLC | Pharmacy | 1800 Monument Blvd Ste L, Concord, CA 94520-3871 | 2018-02-06 |
| 1619299146 | Kmart Corporation | Pharmacy | 545 Concord Pkwy N, Concord, NC 28027-6738 | 2010-02-25 |
| 1588991954 | Tsp First Health LLC | Pharmacy | 2030 Diamond Blvd, Concord, CA 94520-5702 | 2009-11-05 |
| 1912043829 | Modern Pharmacy | Pharmacy | 5 Clinton St, Concord, NH 03301-2303 | 2007-01-29 |
| 1609939438 | Geer Enterprises, Inc. | Pharmacy | 807 Davidson Dr Nw, Concord, NC 28025-4351 | 2006-12-19 |
| 1376642728 | Cvs Pharmacy Inc | Pharmacy | 199 Sudbury Rd, Concord, MA 01742-3466 | 2006-09-22 |
| 1295838977 | North Carolina Cvs Pharmacy LLC | Pharmacy | 931 Concord Pkwy N, Concord, NC 28027-5944 | 2006-09-07 |
| 1841300456 | Costco Wholesale Corporation | Pharmacy | 2400 Monument Blvd, Concord, CA 94520 | 2006-08-30 |
| 1922015924 | Walgreen Co | Pharmacy | 5230 Poplar Tent Rd, Concord, NC 28027-7757 | 2006-08-02 |
| Find all providers in CONCORD | ||||
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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.