Active NPI
Ketner Investment Corp
- Pharmacy
- Norway, ME
National Provider Identifier
1023016342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH50001093
- Legal business name
- KETNER INVESTMENT CORP
- Practice address
- 54 Fair St
Norway, ME 04268-5628 - Phone
- (207) 743-8121
- Fax
- (207) 744-0246
- NPI assigned
- Jul 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Laurence D Ketner, RPH
- Title
- Owner/President
- Phone
- (207) 743-8121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH50001093 | ME | Primary |
Addresses
Primary practice location
54 Fair St
Norway, ME 04268-5628
Mailing address
54 Fair St
Norway, ME 04268-5628
Phone (207) 743-8121
Other names 1
- Ketner Pharmacy
National Provider Directory
National Provider DirectoryLocations
54 Fair St
Norway, ME 04268
Phone (207) 743-8121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Norway, ME
- NPI 1992992267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023016342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 FAIR ST",
"city": "NORWAY",
"state": "ME",
"postal_code": "042685628",
"telephone_number": "207-743-8121",
"fax_number": "207-744-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 FAIR ST",
"city": "NORWAY",
"state": "ME",
"postal_code": "042685628",
"telephone_number": "207-743-8121",
"fax_number": "207-744-0246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KETNER INVESTMENT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KETNER",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "207-743-8121",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "ME",
"license": "PH50001093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ketner Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norway, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.