Stephen Maki, RPH

Primary specialty

PharmacyTaxonomy code 333600000X

License

PR4626 Issued in ME

Practice address

148 Main St
Jay, ME 04239-1506

Phone

(207) 897-9080

Fax

(207) 897-9082

NPI assigned

Apr 17, 2019

Last updated

Sep 18, 2020By the provider in NPPES

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

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Spruce Mountain Pharmacy Inc.

  • Long Term Care Pharmacy
  • Jay, ME
  • NPI 1649008541
  NPD Authorized official
• Spruce Mountain Pharmacy Inc.

  • Community/Retail Pharmacy
  • Jay, ME
  • NPI 1831337088
  NPD Authorized official

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1083277933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "JAY",
            "state": "ME",
            "postal_code": "042390343",
            "telephone_number": "207-778-8969",
            "fax_number": "207-897-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MAIN ST",
            "city": "JAY",
            "state": "ME",
            "postal_code": "042391506",
            "telephone_number": "207-897-9080",
            "fax_number": "207-897-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ME",
            "license": "PR4626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Rae Ring
• Camden Saucier, PHARM D
• Smartworks Inc

• Pharmacy in Jay, ME
• Providers in Jay, ME by specialty
• Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.