Kyle Marshall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR70968 Issued in ME

Practice address

870 Main St
Westbrook, ME 04092-2820

Phone

(207) 854-8443

NPI assigned

Sep 15, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• CVS State Capital LLC

  • Pharmacy
  • Auburn, ME
  • NPI 1164140398
  NPD (past)
• CVS State Capital LLC

  • Pharmacy
  • Westbrook, ME
  • NPI 1871697797
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1063134161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 GATEWAY CIR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745527",
            "telephone_number": "774-249-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922820",
            "telephone_number": "207-854-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR70968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainehealth
• Mustafa Maisha
• Timothy James Manahan, D.O.
• Manifest Maine LLC
• Kristen Marden
• Heather Marie Martel, LMSW-CC
• Robert L Martin II, P.T.
• Ellen Martzial, LCSW
• Mas Medical Staffing Corporation
• Mas Medical Staffing Corporation

• Pharmacist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.