Johnna Pelletier

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR6056 Issued in ME

Practice address

843 Central St
Millinocket, ME 04462-2125

Phone

(207) 723-8148

Fax

(207) 723-9548

NPI assigned

Nov 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Hannaford Bros Co LLC

  • Community/Retail Pharmacy
  • Millinocket, ME
  • NPI 1386752764
  NPD (past)
• Hannaford Bros. Co., LLC

  • Community/Retail Pharmacy
  • Scarborough, ME
  • NPI 1861175622
  NPD (past)

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1417558198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044620346",
            "telephone_number": "207-712-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 CENTRAL ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044622125",
            "telephone_number": "207-723-8148",
            "fax_number": "207-723-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "JOHNNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR6056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Hossein Niayesh, MD,FACS,FRCS
• Kwaku Owusu-Abrokwa, M.D.
• Gale Ann Paradis, DENTAL ASSISTANT
• Andre Parent, PAC
• Hannah Elizabeth Pelletier
• Kati M Pelletier, RN
• Abigail M Perkins, LMT
• Jayne L Potvin, LMT
• Brianna I Rainey
• Douglas Rhoda, PAC

• Pharmacist in Millinocket, ME
• Providers in Millinocket, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.