Active NPI
Robert Wayne Cattan Jr., R.PH
- Pharmacist
- Bangor, ME
National Provider Identifier
1003242702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4646
- Practice address
- 210 State St
Bangor, ME 04401-5411 - Phone
- (207) 947-8369
- Fax
- (207) 947-0894
- NPI assigned
- Sep 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4646 | ME | Primary |
Addresses
Primary practice location
210 State St
Bangor, ME 04401-5411
Mailing address
210 State St
Bangor, ME 04401-5411
Phone (207) 947-8369
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4646 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1003242702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015411",
"telephone_number": "207-947-8369",
"fax_number": "207-947-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015411",
"telephone_number": "207-947-8369",
"fax_number": "207-947-0894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATTAN",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "4646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
- Catch a Falling Star
- Melissa Meserve Catell, MSOTR/L
- Catherine R Mikowski Counseling, PLLC
- Beth Jeannine Cato, NP
- Christine Elizabeth Cattan, RPH
- Christina Marie Caver, LCSW
- Elisabeth Grace Cawley, PA-C
- CCM-4U, LLC
- Center for Integrative and Regenerative Medicine
- Centerwell Certified Healthcare Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.