Jennifer Cyr, PHARMD
Individual provider Active NPI Pharmacist · Bridgton, ME
NPI 1376917443 · NPPES record last updated Nov 30, 2015
Key facts
- NPI
- 1376917443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR12475 (ME)
- Practice address
- 10 Hospital Dr
Bridgton, ME 04009-1148 - Phone
- (207) 647-6142
- Fax
- (207) 647-6242
- NPI assigned
- Nov 30, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR12475 | ME | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR12475 | ME | Yes |
Addresses
Primary practice location
10 Hospital Dr
Bridgton, ME 04009-1148
Mailing address
10 Hospital Dr
Bridgton, ME 04009-1148
Phone (207) 647-6142
Other providers in Bridgton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.