Individual provider Active NPI

Jason Tseng

  • Pharmacist
  • Augusta, ME
National Provider Identifier
1184480717
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR72466 Issued in ME
Practice address
201 Civic Center Dr
Augusta, ME 04330-8033
Phone
(207) 623-8223
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHCY-01671 NH
Pharmacist 183500000X PR72466 ME Primary

Addresses

Primary practice location

201 Civic Center Dr
Augusta, ME 04330-8033

Mailing address

201 Civic Center Dr
Augusta, ME 04330-8033
Phone (207) 623-8223

Other practice location 1

679 Central Ave
Dover, NH 03820-3402
Phone (603) 742-5313

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

State licenses

LicenseStateTypeSpecialty
PR72466MEMDPharmacist
PHCY-01671NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxi Drug North Inc PastSince Feb 1, 2024 Accepting new patients
Maxi Drug North Inc PastSince Feb 1, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1184480717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CIVIC CENTER DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308033",
            "telephone_number": "207-623-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CIVIC CENTER DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308033",
            "telephone_number": "207-623-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "679 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038203402",
            "country_code": "US",
            "telephone_number": "603-742-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSENG",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-01671",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR72466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.