Emily Dee, RPH

Individual provider Active NPI Pharmacist · Cornish, ME

NPI 1124634613 · NPPES record last updated Sep 20, 2020

Key facts

NPI
1124634613
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PR69907 (ME)
Practice address
200 Maple St
Cornish, ME 04020-3141
Phone
(207) 625-8050
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PR69907MEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Quaker State Medical Services Co Inc Past
since Sep 27, 2020
Accepting new patients
Maxim Health Systems, LLC Past
since Sep 27, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR69907 ME Yes

Addresses

Primary practice location

200 Maple St
Cornish, ME 04020-3141

Mailing address

335 Forest Ave Apt 206
Portland, ME 04101-2020
Phone (207) 538-7816

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 20, 2020.

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1124634613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 FOREST AVE APT 206",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012020",
            "telephone_number": "207-538-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAPLE ST",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040203141",
            "telephone_number": "207-625-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEE",
        "first_name": "EMILY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR69907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornish, ME

All providers in Cornish, ME · Pharmacist in Maine

Sources for this page

Verify at the official NPI Registry.