NORTHEAST PHARMACY SERVICES LLC NPI 1881817294

NPI Information

  • NPI: 1881817294
  • Provider Name: NORTHEAST PHARMACY SERVICES LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • CLIA Number: 30D0086191
  • Address: 1 GRANITE PL
    SUITE #200N
    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 1881817294. The provider is registered as an organization entity type.

The provider's business location address is:

1 GRANITE PL
SUITE #200N
CONCORD, NH
ZIP 03301-258
Phone: (603) 224-9591

The provider's authorized official is Charles John Fanaras .
The authorized official title is Ceo and has the following contact phone number (603) 224-9591.

The CLIA number assigned to this NPI record is 30D0086191 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/11/2007 and was last updated on 4/21/2017.

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 Pharmacy0655PNEW 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
15185210001MEDICARE NSCNEW HAMPSHIRE
23077603MEDICAIDNEW 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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