Active NPI
Kimberly A Geraghty, PHARMD
- Ambulatory Care Pharmacist
- Lewiston, ME
National Provider Identifier
1255170031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PR69357
- Practice address
- 60 High St
Lewiston, ME 04240-7616 - Phone
- (207) 795-2325
- NPI assigned
- May 22, 2024
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PR69357 | ME | Primary |
Addresses
Primary practice location
60 High St
Lewiston, ME 04240-7616
Mailing address
43 Baxter Blvd
Portland, ME 04101-1823
Phone (207) 771-1717
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
| License | State | Type | Specialty |
|---|---|---|---|
| PR69357 | ME | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1255170031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 BAXTER BLVD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041011823",
"telephone_number": "207-771-1717",
"fax_number": "207-771-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HIGH ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407616",
"telephone_number": "207-795-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAGHTY",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "ME",
"license": "PR69357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.