Active NPI
Mark S Lindberg, RPH
- Pharmacist
- Westbrook, ME
National Provider Identifier
1013261163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR3938
- Practice address
- 31 Main St
Westbrook, ME 04092-4737 - Phone
- (207) 857-9298
- Fax
- (207) 857-9304
- NPI assigned
- Oct 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR3938 | ME | Primary |
| Pharmacist | 183500000X | R1115 | NH |
Addresses
Primary practice location
31 Main St
Westbrook, ME 04092-4737
Mailing address
PO Box 752
Standish, ME 04084-0752
Phone (207) 642-4820
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 |
|---|---|---|---|
| PR3938 | ME | MD | Pharmacist |
| R1115 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaws Supermarkets Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ludlow, VT
- NPI 1255182622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351296000000",
"number": "1013261163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 752",
"city": "STANDISH",
"state": "ME",
"postal_code": "040840752",
"telephone_number": "207-642-4820",
"fax_number": "207-642-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MAIN ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924737",
"telephone_number": "207-857-9298",
"fax_number": "207-857-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "MARK",
"middle_name": "S",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-27",
"last_updated": "2012-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR3938",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.