NPIMap

Individual provider Active NPI

Charles J Ouellette, RPH

  • Pharmacist
  • Fort Kent, ME
National Provider Identifier
1154621696
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR4202 Issued in ME
Practice address
182 Market St
Suite 2
Fort Kent, ME 04743-1514
Phone
(207) 834-2880
Fax
(207) 834-2882
NPI assigned
Nov 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR4202 ME Primary

Addresses

Primary practice location

182 Market St
Suite 2
Fort Kent, ME 04743-1514

Mailing address

182 Market St
Suite 2 PO Box 189
Fort Kent, ME 04743-1514
Phone (207) 834-2880

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

LicenseStateTypeSpecialty
PR4202MEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RX Associates LLC Current Accepting new patients
Shiretown Pharmacy LLC Current Accepting new patients
RX Associates LLC Current Accepting new patients
Northern Maine Medical Center Past Accepting new patients
Aroostook Pharmacy Inc. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1154621696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MARKET ST",
            "address_2": "SUITE 2 PO BOX 189",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431514",
            "telephone_number": "207-834-2880",
            "fax_number": "207-834-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MARKET ST",
            "address_2": "SUITE 2",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431514",
            "telephone_number": "207-834-2880",
            "fax_number": "207-834-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.