Active NPI
Mindy Anders
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bangor, ME
National Provider Identifier
1083298442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PR45451
- Practice address
- 489 State St
Pharmacy Department
Bangor, ME 04401 - Phone
- (207) 973-7000
- NPI assigned
- May 11, 2021
- Last updated
- May 11, 2021
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PR45451 | ME | Primary |
Addresses
Primary practice location
489 State St
Pharmacy Department
Bangor, ME 04401
Mailing address
60 Church Rd
Bucksport, ME 04416-5002
Phone (207) 409-0436
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 |
|---|---|---|---|
| PR45451 | ME | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1083298442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CHURCH RD",
"city": "BUCKSPORT",
"state": "ME",
"postal_code": "044165002",
"telephone_number": "207-409-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"address_2": "PHARMACY DEPARTMENT",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERS",
"first_name": "MINDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "ME",
"license": "PR45451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.