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1144344607 NPI number — KENNETH ARTHUR ISAACS BS PHARMACY

NPI Number: 1144344607
Health Care Provider/Practitioner: KENNETH ARTHUR ISAACS BS PHARMACY

Information about “1144344607” NPI (KENNETH ARTHUR ISAACS BS PHARMACY) exists in 1144344607 in HTML format HTML  |  1144344607 in plain Text format TXT  |  1144344607 in PDF (Portable Document Format) PDF  |  1144344607 in an XML format XML  formats.

NPI Number : 1144344607 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144344607",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ISAACS",
    "FirstName": "KENNETH",
    "MiddleName": "ARTHUR",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "BS PHARMACY",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 117",
    "SecondLineMailingAddress": "4 RIVERWOOD RD.",
    "MailingAddressCityName": "KINGSTON",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03848-0117",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-642-8550",
    "MailingAddressFaxNumber": "603-742-8180",
    "FirstLinePracticeLocationAddress": "118 CENTRAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOVER",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03820-4028",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-742-8550",
    "PracticeLocationAddressFaxNumber": "603-742-8180",
    "EnumerationDate": "03/19/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "R525",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "14954",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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