KEITH FLENNIKEN (NPI# 1710308895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710308895 |
| Entity Type | Individual |
| Full Name | KEITH FLENNIKEN |
| Credential | PHARMACIST |
| Practice Address |
20 Range Rd Windham NH 03087-2022 |
| Practice Telephone | 6034012696 |
| Mailing Telephone | 6034012696 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH22092 | MA | Pharmacy Service Providers |
| Street Address |
20 RANGE RD |
| City | WINDHAM |
| State | NH |
| Zip Code | 03087-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447627781 | Benjamin Paul Sherr | Physical Therapist | 32 Indian Rock Road, Unit 5, Windham, NH 03087 | 2015-08-21 |
| 1346513934 | Michele Fox | Physical Therapist | 32 Indian Rock Rd #5, Windham, NH 03087 | 2012-02-14 |
| 1235412750 | Julie M Ferry | Physical Therapist | 3 Church Road, Windham, NH 03087 | 2011-09-21 |
| 1821308867 | Emlee Paige Betts | Counselor | 46 Lowell Road, Unit 7, Windham, NH 03087 | 2010-10-08 |
| 1851531784 | Serena J Verolla | Nurse Practitioner | 58 Range Rd Ste R-05, Windham, NH 03087 | 2009-03-05 |
| 1619198009 | Katherine Ann Hebert Smith | Occupational Therapist | 3 Industrial Drive, Unit 1, Windham, NH 03087 | 2007-05-01 |
| 1164558532 | Windham Dental Center | Dentist | 25 Indian Rock Road, Suite One, Windham, NH 03087 | 2007-02-27 |
| 1013079862 | Lisa Marie Hatzos | Internal Medicine | 127 Rockingham Road, Suite 103 Elliot Peak Internal Medicine At Windham, Windham, NH 03087 | 2006-12-15 |
| 1669578571 | Aimee Murray | Physician Assistant | 49 Range Rd Ste 104, Windham, NH 03087 | 2006-09-16 |
| 1902852262 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 43 Indian Rock Rd, Windham, NH 03087 | 2006-05-26 |
| Find all providers in zip 03087 | ||||
| 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 |
|---|---|---|---|---|
| 1881295624 | Melissa Foss | Pharmacist | 797 Roosevelt Trl, Windham, ME 04062-5341 | 2020-11-06 |
| 1053806521 | Thomas Fraser | Pharmacist | 24 Cedar Hl, Windham, CT 06280-1418 | 2018-06-27 |
| 1275984395 | Anait Lvin | Pharmacist | 112 Castle Hill Rd, Windham, NH 03087-1746 | 2016-06-29 |
| 1356717169 | Gary Manzo | Pharmacist | 28 Mount Hunger Shore Rd, Windham, ME 04062-5662 | 2015-08-16 |
| 1174968945 | Jeffrey Michael Gonzalez | Pharmacist | 2868 County Route 10, Windham, NY 12496-1639 | 2013-05-06 |
| 1194040717 | William Thomas Quackenbush IIi | Pharmacist | Rte 296 & South St, Windham, NY 12496-0068 | 2010-04-07 |
| 1104940006 | Robert Chauncey Haas | Pharmacist | 1 Juniper Rd, Windham, NH 03087-1424 | 2007-03-17 |
| 1750472288 | David R Gearhart | Pharmacist | 10605 State Route 303, Windham, OH 44288-9778 | 2006-09-28 |
| 1285246140 | Pierre Sam Hanna | Pharmacist | 741 Roosevelt Trl, Windham, ME 04062-5269 | 2020-08-20 |
| 1306485065 | Gabrielle Kana Tiezan | Pharmacist | 741 Roosevelt Trl, Windham, ME 04062-5269 | 2019-12-29 |
| Find all providers in WINDHAM | ||||
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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.