Individual provider Active NPI

Julie Lernihan Waldroup, PHARMD, BCACP

  • Ambulatory Care Pharmacist
  • Scarborough, ME
National Provider Identifier
1205208931
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
CDT69531 Issued in ME
Practice address
300 Professional Dr
Scarborough, ME 04074-8897
Phone
(207) 883-3491
NPI assigned
Oct 21, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR45443 ME
Pharmacist 183500000X R2746 NH
Ambulatory Care Pharmacist 1835P2201X CDT69531 ME Primary

Addresses

Primary practice location

300 Professional Dr
Scarborough, ME 04074-8897

Mailing address

300 Professional Dr
Scarborough, ME 04074-8897
Phone (207) 883-3491

Other names 1

  • Dr. Julie Ann Lernihan Former name

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
PR45443MEMDPharmacist
R2746NHMDPharmacist
CDT69531MEMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205208931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748897",
            "telephone_number": "207-883-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748897",
            "telephone_number": "207-883-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROUP",
        "first_name": "JULIE",
        "middle_name": "LERNIHAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR45443",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R2746",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "ME",
            "license": "CDT69531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LERNIHAN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PHARMD, BCACP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.