Michael Harris
Individual provider Active NPI Pharmacist · Greenville, ME
NPI 1104396167 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1104396167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR4293 (ME)
- Practice address
- 10 Pritham Ave
Greenville, ME 04441 - Phone
- (207) 695-2921
- Fax
- (207) 695-3449
- NPI assigned
- Dec 3, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR4293 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moosehead Drug Inc. | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4293 | ME | Yes |
Addresses
Primary practice location
10 Pritham Ave
Greenville, ME 04441
Mailing address
PO Box 530
Greenville, ME 04441-0530
Phone (207) 695-2921
Other providers in Greenville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.