Active NPI
Leo Caouette
- Pharmacist
- Standish, ME
National Provider Identifier
1205422334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4764
- Practice address
- 111 Ossipee TRL E
Standish, ME 04084-6464 - Phone
- (207) 642-5544
- Fax
- (207) 642-4410
- NPI assigned
- Dec 13, 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 | PR4764 | ME | Primary |
Addresses
Primary practice location
111 Ossipee TRL E
Standish, ME 04084-6464
Mailing address
25 Crescent Ave
South Portland, ME 04106-2103
Phone (207) 450-0211
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
| License | State | Type | Specialty |
|---|---|---|---|
| PR4764 | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Standish, ME
- NPI 1821106212
-
- 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": "1607817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607817600000",
"number": "1205422334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CRESCENT AVE",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062103",
"telephone_number": "207-450-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 OSSIPEE TRL E",
"city": "STANDISH",
"state": "ME",
"postal_code": "040846464",
"telephone_number": "207-642-5544",
"fax_number": "207-642-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAOUETTE",
"first_name": "LEO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-13",
"last_updated": "2020-12-13",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Standish, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.