Active NPI
Diane Claire Cloutier Dostal, R.PH.
- Pharmacist
- Saco, ME
National Provider Identifier
1114245560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4357
- Practice address
- 461 Main St
Saco, ME 04072-1528 - Phone
- (207) 284-4363
- Fax
- (207) 284-8229
- NPI assigned
- May 10, 2010
- Last updated
- May 10, 2010
- 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 | PR4357 | ME | Primary |
Addresses
Primary practice location
461 Main St
Saco, ME 04072-1528
Mailing address
461 Main St
Saco, ME 04072-1528
Phone (207) 284-4363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR4357 | Other | ME | PHARMACY LICENSE |
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 |
|---|---|---|---|
| PR4357 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1114245560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 MAIN ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721528",
"telephone_number": "207-284-4363",
"fax_number": "207-284-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 MAIN ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721528",
"telephone_number": "207-284-4363",
"fax_number": "207-284-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUTIER DOSTAL",
"first_name": "DIANE",
"middle_name": "CLAIRE",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PR4357",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.