AUDREY RENEE BROYER (NPI# 1891074647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891074647 |
| Entity Type | Individual |
| Full Name | AUDREY RENEE BROYER |
| Other Name | AUDREY RENEE COURCHESNE |
| Credential | PHARMD |
| Practice Address |
718 Smyth Rd Manchester NH 03104-7007 |
| Practice Telephone | 6036244366 |
| Mailing Telephone | 6036244366 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
3702 | NH | Pharmacy Service Providers |
| Street Address |
718 SMYTH RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961887 | Francis J Piccione | Specialist | 718 Smyth Rd, Va Medical Center 111/112, Manchester, NH 03104-7007 | 2005-06-02 |
| 1174136964 | Julio Dutra | Nurse Practitioner | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-31 |
| 1245840776 | Lindsay Ann Hyde | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-08-10 |
| 1316566821 | Calvin Smith | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2020-04-14 |
| 1770133068 | Luzviminda A Bubar | Technician | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-18 |
| 1699324590 | Neil Adrian Andogan Banoey | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-09-04 |
| 1912553058 | Carolee Jessica Tustin | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-14 |
| 1740835362 | Clara Louise Carr | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1023663655 | Rebekah Johnson | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-09 |
| 1306491204 | Kelly Bowers | Social Worker | 718 Smyth Rd, Manchester, NH 03104-7007 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487022711 | Melissa Martins | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2015-09-03 |
| 1407231277 | Chelsea A Sampadian | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2015-07-22 |
| 1407289614 | Amanda Marie Downing | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2013-08-12 |
| 1710237979 | Jennifer Durden | Pharmacist | 718 Smyth Rd, Manchester, NH 03104-7007 | 2012-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225688377 | Reid L Sindelar | Pharmacist | 241 Elm St Ste 5, Claremont, NH 03743-2026 | 2019-09-19 |
| 1629537675 | Anna Kerimov Bahr | Pharmacist | 125 N Main St Ste 1, Concord, NH 03301-4985 | 2019-03-19 |
| 1124458278 | Paul Santos | Pharmacist | 548 Steele Hill Rd, Sanbornton, NH 03269-2605 | 2013-11-26 |
| 1194038620 | Angela Landry | Pharmacist | 375 Amherst St Ste 1, Nashua, NH 03063-1216 | 2010-07-26 |
| 1336389279 | Karen Marie Doherty | Pharmacist | 49 Ladyslipper Dr, Newmarket, NH 03857-2066 | 2009-03-05 |
| 1114528023 | Jessica Kelly | Pharmacist | 3 Commerce Dr, Hooksett, NH 03106-2528 | 2020-11-06 |
| 1598378424 | Kelcy Henrique | Pharmacist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-08-29 |
| 1821574898 | Jenny Chang | Pharmacist | 48 E Broadway, Derry, NH 03038-2422 | 2018-07-12 |
| 1376068353 | Sarah Ekbatani | Pharmacist | 4 Plaistow Rd, Plaistow, NH 03865-4806 | 2017-08-10 |
| 1962778811 | Steven David Levin | Pharmacist | 311 Daniel Webster Hwy, Nashua, NH 03060-5702 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.