Christopher Lloyd Carter
Individual provider Active NPI Pharmacist · Brewer, ME
NPI 1467732008 · NPPES record last updated Aug 26, 2011
Key facts
- NPI
- 1467732008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR5643 (ME)
- Practice address
- 437 Wilson St
Walgreens
Brewer, ME 04412-1414 - Phone
- (207) 991-9679
- Fax
- (207) 991-9723
- NPI assigned
- Aug 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR5643 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR5643 | ME | Yes |
Addresses
Primary practice location
437 Wilson St
Walgreens
Brewer, ME 04412-1414
Mailing address
47 Wild Rose Dr
Apt #4
Brewer, ME 04412-1485
Phone (518) 593-8361
Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2011. 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.