NORTHEAST PHARMACY SERVICES LLC NPI 1144321357

NPI Information

  • NPI: 1144321357
  • Provider Name: NORTHEAST PHARMACY SERVICES LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 1 GRANITE PL
    SUITE 200 NORTH
    CONCORD, NH
    ZIP 03301
  • Phone: (603) 224-9591

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NPI Details

NORTHEAST PHARMACY SERVICES LLC is a long term care pharmacy pharmacy in Concord, NH. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. NORTHEAST PHARMACY SERVICES LLC NPI is 1144321357. The provider is registered as an organization entity type.

The provider's business location address is:

1 GRANITE PL
SUITE 200 NORTH
CONCORD, NH
ZIP 03301-258
Phone: (603) 224-9591
Fax: (603) 225-6579

The provider's authorized official is Charles John Fanaras .
The authorized official title is Ceo and has the following contact phone number (603) 223-3111.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 12/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care Pharmacy0655NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10655POTHERNEW HAMPSHIRENEW HAMPSHIRE BOARD OF PHARMACY
23007095OTHERNEW HAMPSHIRENABP
33077603MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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