Active NPI
Charles Kirk, RPH
- Pharmacist
- Westbrook, ME
National Provider Identifier
1083115158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4199
- Practice address
- 39 Eisenhower Dr
Westbrook, ME 04092-2033 - Phone
- (207) 854-6400
- Fax
- (800) 559-7781
- NPI assigned
- Feb 23, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4199 | ME | Primary |
Addresses
Primary practice location
39 Eisenhower Dr
Westbrook, ME 04092-2033
Mailing address
150 Middle St Apt 2G
Portland, ME 04101-4150
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 |
|---|---|---|---|
| PR4199 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1083115158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MIDDLE ST APT 2G",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 EISENHOWER DR",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040922033",
"telephone_number": "207-854-6400",
"fax_number": "800-559-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "CHARLES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4199",
"primary": true
}
],
"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 Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.