Bernadette Reust Goncharova, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR12613 Issued in ME

Practice address

93 Lincolnville Ave
Belfast, ME 04915-6461

Phone

(207) 338-1918

Fax

(207) 338-1276

NPI assigned

Nov 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Hannaford Bros Co LLC

  • Community/Retail Pharmacy
  • Belfast, ME
  • NPI 1285742676
  NPD (past)
• Hannaford Bros. Co., LLC

  • Community/Retail Pharmacy
  • Scarborough, ME
  • NPI 1861175622
  NPD (past)

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1235733171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MAIN ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565722",
            "telephone_number": "207-956-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 LINCOLNVILLE AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156461",
            "telephone_number": "207-338-1918",
            "fax_number": "207-338-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCHAROVA",
        "first_name": "BERNADETTE",
        "middle_name": "REUST",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234288",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR12613",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "ADV28852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Ann Giefer
• Michael Calder Gill, PA-C
• Samantha P Gilligan, FNPC
• Roberta Ann Goff, FNP-C
• Jean Ridington Goldfine, LCSW
• Carl Leslie Goodwin-Moore, LMSW-CC
• Linda Arline Gordon, DSP
• Jan M Gorton, M.D.
• Grace Chiropractic, LLC
• Judith B. Grace, L.C.P.C.

• Pharmacist in Belfast, ME
• Providers in Belfast, ME by specialty
• Pharmacist in Maine

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