Active NPI
Kathleen Clara Wheeler, PHARMACIST
- Pharmacist
- Wells, ME
National Provider Identifier
1083210603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4919
- Practice address
- 107 Wells PLZ
Wells, ME 04090-4126 - Phone
- (207) 646-2622
- NPI assigned
- Dec 9, 2020
- Last updated
- Mar 7, 2023
- 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 | PR4919 | ME | Primary |
Addresses
Primary practice location
107 Wells PLZ
Wells, ME 04090-4126
Mailing address
107 Wells PLZ
Wells, ME 04090-4126
Phone (207) 646-2622
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 |
|---|---|---|---|
| PR4919 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hannaford Supermarket & Pharmacy
- Community/Retail Pharmacy
- Wells, ME
- NPI 1568570943
-
dba Hannaford Supermarket & Pharmacy
- 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": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1083210603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WELLS PLZ",
"city": "WELLS",
"state": "ME",
"postal_code": "040904126",
"telephone_number": "207-646-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WELLS PLZ",
"city": "WELLS",
"state": "ME",
"postal_code": "040904126",
"telephone_number": "207-646-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "KATHLEEN",
"middle_name": "CLARA",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2023-03-07",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wells, ME
- Wells Dental PLLC
- Wells Emergency Medical Service Inc
- Wells Emergency Medical Services Inc
- Wells Family Practice LLC
- Wells Ogunquit Community School District
- Karen T Wilson, P.T., O.C.S.
- Katee Mary Wilson, COTA, LMT
- Ycpd, PLLC (York County Pediatric Dentistry)
- York County Wound Healing & Hyperbaric Medicine Center
- York Hospital (York Hospital Wells Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.