Active NPI
Amr M Elebiary, RPH
- Pharmacist
- Auburn, ME
National Provider Identifier
1295965127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5490
- Practice address
- 698 Minot Ave
Auburn, ME 04210-3922 - Phone
- (207) 786-5330
- Fax
- (207) 786-2368
- NPI assigned
- Jul 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | PR5490 | ME | Primary |
Addresses
Primary practice location
698 Minot Ave
Auburn, ME 04210-3922
Mailing address
42 Damy Dr
110
Auburn, ME 04210-6186
Phone (740) 475-9053
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR5490 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1295965127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 DAMY DR",
"address_2": "110",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106186",
"telephone_number": "740-475-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 MINOT AVE",
"city": "AUBURN",
"state": "ME",
"postal_code": "042103922",
"telephone_number": "207-786-5330",
"fax_number": "207-786-2368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELEBIARY",
"first_name": "AMR",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.