Active NPI
Noelle Bouchard, PHARMD, LMT
- Pharmacist
- Madawaska, ME
National Provider Identifier
1003330234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5202
- Practice address
- 104 Main St
Madawaska, ME 04756-1437 - Phone
- (207) 728-7200
- NPI assigned
- Jul 31, 2017
- Last updated
- Jun 26, 2019
- Sex
- Female
- 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 | PR5202 | ME | Primary |
Addresses
Primary practice location
104 Main St
Madawaska, ME 04756-1437
Mailing address
9 Peaceful LN
New Canada, ME 04743-3055
Phone (207) 316-2545
Other practice location 1
84 E Main St
Fort Kent, ME 04743-1322
Phone (207) 834-5444
Other practice location 2
3 Mountainview Dr
Fort Kent, ME 04743-1614
Phone (207) 316-3545
Other practice location 3
104 Main St
Madawaska, ME 04756-1437
Phone (207) 728-7200
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR5202 | ME | MD | Pharmacist |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/7722ef4c-2455-48ad-a4fa-814cb1ac7718/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1003330234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PEACEFUL LN",
"city": "NEW CANADA",
"state": "ME",
"postal_code": "047433055",
"telephone_number": "207-316-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MAIN ST",
"city": "MADAWASKA",
"state": "ME",
"postal_code": "047561437",
"telephone_number": "207-728-7200"
}
],
"practiceLocations": [
{
"address_1": "84 E Main St",
"address_purpose": "LOCATION",
"city": "Fort Kent",
"state": "ME",
"postal_code": "047431322",
"country_code": "US",
"telephone_number": "207-834-5444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Mountainview Dr",
"address_purpose": "LOCATION",
"city": "Fort Kent",
"state": "ME",
"postal_code": "047431614",
"country_code": "US",
"telephone_number": "207-316-3545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Main St",
"address_purpose": "LOCATION",
"city": "Madawaska",
"state": "ME",
"postal_code": "047561437",
"country_code": "US",
"telephone_number": "207-728-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUCHARD",
"first_name": "NOELLE",
"credential": "PHARMD, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madawaska, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.