Individual provider Active NPI

Megan Jennison, PHARMD

  • Pharmacist
  • Greenville, ME
National Provider Identifier
1386012953
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR45362 Issued in ME
Practice address
10 Pritham Ave
Greenville, ME 04441-3030
Phone
(207) 695-2921
NPI assigned
Sep 12, 2015
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR45362 ME Primary

Addresses

Primary practice location

10 Pritham Ave
Greenville, ME 04441-3030

Mailing address

PO Box 530
Greenville, ME 04441-0530
Phone (207) 695-2921

Other practice location 1

3 Hudson Ave
Guilford, ME 04443-6300
Phone (207) 876-2650

Other practice location 2

1207 W Main St
Dover Foxcroft, ME 04426-3747
Phone (207) 564-6900

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

LicenseStateTypeSpecialty
PR45362MEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Foxcroft Pharmacy, LLC PastSince Apr 16, 2023 Accepting new patients
Moosehead Drug Inc. PastSince Nov 17, 2019 Accepting new patients
Foxcroft Pharmacy, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1386012953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "GREENVILLE",
            "state": "ME",
            "postal_code": "044410530",
            "telephone_number": "207-695-2921",
            "fax_number": "207-695-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PRITHAM AVE",
            "city": "GREENVILLE",
            "state": "ME",
            "postal_code": "044413030",
            "telephone_number": "207-695-2921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Hudson Ave",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "ME",
            "postal_code": "044436300",
            "country_code": "US",
            "telephone_number": "207-876-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 W Main St",
            "address_purpose": "LOCATION",
            "city": "Dover Foxcroft",
            "state": "ME",
            "postal_code": "044263747",
            "country_code": "US",
            "telephone_number": "207-564-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNISON",
        "first_name": "MEGAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR45362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.