Active NPI
Beth Bois
- Pharmacist
- Waterville, ME
National Provider Identifier
1013510684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4091
- Practice address
- 140 Elm PLZ
Waterville, ME 04901-4936 - Phone
- (207) 877-7552
- Fax
- (207) 877-7550
- NPI assigned
- Nov 17, 2020
- 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 | PR4091 | ME | Primary |
Addresses
Primary practice location
140 Elm PLZ
Waterville, ME 04901-4936
Mailing address
159 Covell Rd
Fairfield, ME 04937-3137
Phone (207) 649-4528
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
| License | State | Type | Specialty |
|---|---|---|---|
| PR4091 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannaford Bros Co LLC | Past | Accepting new patients | |
| Hannaford Bros. Co., LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Waterville, ME
- NPI 1568585214
-
- Community/Retail Pharmacy
- Scarborough, ME
- NPI 1861175622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1013510684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 COVELL RD",
"city": "FAIRFIELD",
"state": "ME",
"postal_code": "049373137",
"telephone_number": "207-649-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ELM PLZ",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014936",
"telephone_number": "207-877-7552",
"fax_number": "207-877-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOIS",
"first_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.