Active NPI
Elizabeth Bennett Pritchard
- Pharmacist
- Kennebunk, ME
National Provider Identifier
1215533617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4755
- Practice address
- 65 Portland Rd
Kennebunk, ME 04043-6742 - Phone
- (207) 985-9177
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- 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 | PR4755 | ME | Primary |
Addresses
Primary practice location
65 Portland Rd
Kennebunk, ME 04043-6742
Mailing address
3 Bridle Path Way
Gorham, ME 04038-1900
Phone (207) 650-0897
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 |
|---|---|---|---|
| PR4755 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1215533617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BRIDLE PATH WAY",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381900",
"telephone_number": "207-650-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PORTLAND RD",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436742",
"telephone_number": "207-985-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHARD",
"first_name": "ELIZABETH",
"middle_name": "BENNETT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.