Individual provider Active NPI

Christie Skinner Freeman

  • Pharmacist
  • Fort Kent, ME
National Provider Identifier
1003164583
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR6475 Issued in ME
Practice address
84 E Main St
Fort Kent, ME 04743-1322
Phone
(207) 834-5444
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR6475 ME Primary

Addresses

Primary practice location

84 E Main St
Fort Kent, ME 04743-1322

Mailing address

84 E Main St
Fort Kent, ME 04743-1322
Phone (207) 834-5444

Other names 1

  • Christie Skinner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PR6475MEMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1003164583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431322",
            "telephone_number": "207-834-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431322",
            "telephone_number": "207-834-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER FREEMAN",
        "first_name": "CHRISTIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR6475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "SKINNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Kent, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.