Individual provider Active NPI

Kayla Lyn Stewart, PHARMD

  • Pharmacist
  • Portland, ME
National Provider Identifier
1194312397
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR27924 Issued in ME
Practice address
141 Preble St
Portland, ME 04101-2440
Phone
(207) 899-0939
Fax
(207) 899-0968
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR27924 ME Primary

Addresses

Primary practice location

141 Preble St
Portland, ME 04101-2440

Mailing address

141 Preble St
Portland, ME 04101-2440
Phone (207) 899-0939

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

LicenseStateTypeSpecialty
PR27924MEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Pharmacy, L.L.C. CurrentSince Apr 27, 2025 Accepting new patients
Procare Pharmacy, LLC. PastSince Dec 27, 2020 Accepting new patients

Locations

141 Preble St
Portland, ME 04101
Phone (207) 899-0939

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1194312397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012440",
            "telephone_number": "207-899-0939",
            "fax_number": "207-899-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012440",
            "telephone_number": "207-899-0939",
            "fax_number": "207-899-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KAYLA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR27924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.