Provider Demographics
NPI:1942640537
Name:ROY, JASON ERIK (RPH)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:ERIK
Last Name:ROY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 JENKINS RD
Mailing Address - Street 2:
Mailing Address - City:NEW DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03855-2435
Mailing Address - Country:US
Mailing Address - Phone:603-343-8145
Mailing Address - Fax:
Practice Address - Street 1:59 WALTONS WAY
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1044
Practice Address - Country:US
Practice Address - Phone:603-692-7258
Practice Address - Fax:603-692-6041
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist