Active NPI
Matthew Morin, PHARMD.
- Pharmacist
- Lewiston, ME
National Provider Identifier
1164772950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR12554
- Practice address
- 692 Sabattus St
Lewiston, ME 04240-3832 - Phone
- (207) 786-0122
- NPI assigned
- Sep 19, 2012
- Last updated
- Dec 5, 2020
- Sex
- Male
- 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 | PR12554 | ME | Primary |
Addresses
Primary practice location
692 Sabattus St
Lewiston, ME 04240-3832
Mailing address
692 Sabattus St
Lewiston, ME 04240-3832
Phone (207) 786-0122
Other practice location 1
73 colonial dr.
standish, ME 04084
Phone (207) 642-5544
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR12554 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannaford Bros Co LLC | Past | Accepting new patients | |
| Hannaford Bros. Co., LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hannaford Supermarket & Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1104934595
-
dba Hannaford Supermarket & Pharmacy
- Community/Retail Pharmacy
- Scarborough, ME
- NPI 1861175622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607126400000",
"number": "1164772950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "692 SABATTUS ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042403832",
"telephone_number": "207-786-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "692 SABATTUS ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042403832",
"telephone_number": "207-786-0122"
}
],
"practiceLocations": [
{
"address_1": "73 colonial dr.",
"address_purpose": "LOCATION",
"city": "standish",
"state": "ME",
"postal_code": "04084",
"country_code": "US",
"telephone_number": "207-642-5544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORIN",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2020-12-05",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR12554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.