Active NPI
Lilian Ijeoma Ogagan
- Pharmacist
- Brunswick, ME
National Provider Identifier
1376029405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5350
- Practice address
- 15 Tibbetts Dr
Brunswick, ME 04011-2680 - Phone
- (207) 725-1176
- Fax
- (207) 725-1385
- NPI assigned
- Jul 11, 2018
- Last updated
- Jul 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH26445 | MA | |
| Pharmacist | 183500000X | PR5350 | ME | Primary |
Addresses
Primary practice location
15 Tibbetts Dr
Brunswick, ME 04011-2680
Mailing address
15 Tibbetts Dr
Brunswick, ME 04011-2680
Phone (207) 725-1176
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 |
|---|---|---|---|
| PH26445 | MA | MD | Pharmacist |
| PR5350 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1376029405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 TIBBETTS DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112680",
"telephone_number": "207-725-1176",
"fax_number": "207-725-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 TIBBETTS DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112680",
"telephone_number": "207-725-1176",
"fax_number": "207-725-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGAGAN",
"first_name": "LILIAN",
"middle_name": "IJEOMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH26445",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
- Peter D O'Connor, M.D., O.D.
- Lisa O'Loughlin
- Oasis Health Network, Inc. (Oasis Free Clinics)
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Kimberly Odell, OTR/L
- Dmitry B Opolinsky, DO
- Ingrid Marie Ordal, LCSW
- Orthopaedic Associates of Maine PA
- Orthopaedic Associates of Maine PA
- Edgardo Rafael Ortiz Flores, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.