Individual provider Active NPI

Yvonne Esidie Vughosi

  • Pharmacist
  • Millinocket, ME
National Provider Identifier
1255943577
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR69682 Issued in ME
Practice address
720 Central St
Millinocket, ME 04462-1800
Phone
(207) 723-9850
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR69682 ME Primary

Addresses

Primary practice location

720 Central St
Millinocket, ME 04462-1800

Mailing address

720 Central St
Millinocket, ME 04462-1800
Phone (207) 723-9850

Other identifiers 1

IdentifierTypeStateIssuer
PR69682OtherMEPHARMACIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bangor

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

LicenseStateTypeSpecialty
PR69682MEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1255943577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CENTRAL ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621800",
            "telephone_number": "207-723-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CENTRAL ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621800",
            "telephone_number": "207-723-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUGHOSI",
        "first_name": "YVONNE",
        "middle_name": "ESIDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR69682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PR69682",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bangor",
            "affiliation": "N",
            "address_1": "720 Central St",
            "city": "Millinocket",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044621800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millinocket, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.